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Organization
SKDDS LLC
Active
Organization
SKDDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRI LAKSHMI SILPA KASTALA DDS (OWNER DENTIST)
(602) 737-9985
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 109, PHOENIX, AZ 85021-5400
(602) 861-3700
(602) 861-3704
Mailing address
1717 W NORTHERN AVE STE 109, PHOENIX, AZ 85021-5400
(602) 861-3700
(602) 861-3704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
Other
Enumeration date
09/28/2026
Last updated
09/28/2026
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