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Organization
MADHURI S TAKALE DDS INC
Active
Organization
MADHURI S TAKALE DDS INC
Active
Other names
Takale Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MADHURI S TAKALE DDS (PRESIDENT)
(949) 681-6018
Entity
Organization
Contact information
Practice address
25381 ALICIA PKWY STE R, LAGUNA HILLS, CA 92653-4983
(949) 586-2828
(949) 586-2727
Mailing address
21 SONATA ST, IRVINE, CA 92618-7021
(949) 681-6018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58266
CA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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