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Organization

PRANAB K. DUTT D.D.S., A.P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRANAB K DUTT D.D.S. (DENTIST)
(760) 352-2773
Entity
Organization

Contact information

Practice address
1540 S IMPERIAL AVE, EL CENTRO, CA 92243-4241
(760) 352-2773
(760) 352-6711
Mailing address
1540 S IMPERIAL AVE, EL CENTRO, CA 92243-4241
(760) 352-2773
(760) 352-6711

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39788
CA

Other

Enumeration date
03/19/2013
Last updated
03/19/2013
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