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Organization
143DENTAL PA
Active
Organization
143DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRAVANTHI KADIYALA DMD (DENTIST)
(954) 647-9742
Entity
Organization
Contact information
Practice address
1501 PRESIDENTIAL WAY STE 19, WEST PALM BEACH, FL 33401-1852
(954) 647-9742
Mailing address
1501 PRESIDENTIAL WAY STE 19, WEST PALM BEACH, FL 33401-1852
(954) 647-9742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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