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Organization

SAVITHA SIDDAPPA DMD INC

Active
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Organization

SAVITHA SIDDAPPA DMD INC

Active
Other names
Prism Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAVITHA SIDDAPPA DMD (PRESIDENT)
(805) 241-5353
Entity
Organization

Contact information

Practice address
355 E AVENIDA DE LOS ARBOLES, SUITE A, THOUSAND OAKS, CA 91360-2973
(805) 241-5353
(805) 241-1515
Mailing address
355 E AVENIDA DE LOS ARBOLES, SUITE A, THOUSAND OAKS, CA 91360-2973
(805) 241-5353
(805) 241-1515

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56598
CA

Other

Enumeration date
08/31/2009
Last updated
05/04/2011
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