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Organization
DHARIA DDS PROFESSIONAL DENTAL CORPORATION
Active
Organization
DHARIA DDS PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANEET DHARIA DDS (OWNER)
(760) 922-7777
Entity
Organization
Contact information
Practice address
151 N BROADWAY, BLYTHE, CA 92225-1607
(760) 922-7777
(760) 922-9367
Mailing address
151 N BROADWAY, BLYTHE, CA 92225-1607
(760) 922-7777
(760) 922-9367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598014573
NATIONAL PROVIDER IDENTIFIER
CA
Enumeration date
09/10/2024
Last updated
10/23/2024
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