Individual
DR. KAVITHA PAIDIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3030 N BALLARD RD, FORWARD DENTAL, APPLETON, WI 54911
(920) 954-8085
Mailing address
1520 TRI PARK WAY, UNIT 2, APPLETON, WI 54914-6432
(573) 529-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001012-15
WI
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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