# SIDDAPPA DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669354148
- **Authorized official:** DR. SAVITHA SIDDAPPA DMD (OWNER)
- **Authorized official phone:** (805) 208-1502

## Contact information

- **Practice address:** 28348 ROADSIDE DR STE 201, AGOURA HILLS, CA 91301-2596
- **Practice address phone:** (805) 208-1502
- **Mailing address:** 372 CAMINO DE CELESTE, THOUSAND OAKS, CA 91360-7124
- **Mailing address phone:** (805) 208-1502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 10/12/2025
