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Organization
PADMAJA K.MUTYALA,DDS,INC
Active
Organization
PADMAJA K.MUTYALA,DDS,INC
Active
Other names
Gateway Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMAJA K MUTYALA (DENTIST/OWNER)
(661) 829-7905
Entity
Organization
Contact information
Practice address
13029 STOCKDALE HWY, SUITE 100, BAKERSFIELD, CA 93314-9589
(661) 829-7905
(661) 829-7907
Mailing address
13029 STOCKDALE HWY, SUITE 100, BAKERSFIELD, CA 93314-9589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54081
CA
Other
Enumeration date
01/24/2015
Last updated
01/26/2015
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