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Individual

DIANNE ELTAGUNDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2454 WINGFIELD HILLS RD STE 100, SPARKS, NV 89436-7202
(775) 525-5510
Mailing address
1234 SABATA WAY APT 3173, SPARKS, NV 89436-1946
(209) 233-2766

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8251
NV

Other

Enumeration date
06/30/2025
Last updated
08/07/2025
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