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Individual

DR. DIPAK SURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
2240 CHANNING WAY, BERKELEY, CA 94704-2123
(510) 845-6494
Mailing address
939 DEWING AVE, LAFAYETTE, CA 94549-4251
(925) 997-5104

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
103094
CA

Other

Enumeration date
05/13/2019
Last updated
07/13/2021
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