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Organization
MADHAVI DURVASULA DDS INC
Active
Organization
MADHAVI DURVASULA DDS INC
Active
Other names
Sohum Dental Of Pleasanton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHAVI K DURVASULA DDS (DENTIST/OWNER)
(408) 930-2634
Entity
Organization
Contact information
Practice address
5460 SUNOL BLVD STE 5, PLEASANTON, CA 94566-7752
(925) 880-8400
(925) 430-6220
Mailing address
5460 SUNOL BLVD STE 5, PLEASANTON, CA 94566-7752
(408) 930-2634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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