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Individual
DR. MITALI SAMANTA
Active
Individual
DR. MITALI SAMANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S, D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52897
CA
1223D0001X
Public Health Dentistry
52897
CA
Other
Enumeration date
12/12/2006
Last updated
08/09/2016
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