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Individual

PRIYANKA UNNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
255 W 64TH ST, LOVELAND, CO 80538-1197
(970) 635-4455
Mailing address
2075 HOPPER LN APT B210, LOVELAND, CO 80538-8553
(408) 887-7225

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206066
CO

Other

Enumeration date
07/11/2024
Last updated
08/01/2024
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