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Divya Ambarish Pathak, DDS
General Practice Dentistry in Los Angeles, California
NPI 1134297963

Divya Ambarish Pathak is a General Practice Dentistry based in Cerritos, CA and is specialized in General Practice. Divya Ambarish Pathak practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Divya Ambarish Pathak is 1134297963 and holds a License No. 32930 (California).

The current practice location address for Divya Ambarish Pathak is 3756 Santa Rosalia Dr, Los Angeles, CA and can be reached out via phone at 323-292-7124.

Location: 3756 Santa Rosalia Dr, Los Angeles, CA, 90703-7208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134297963
Provider Name
Divya Ambarish Pathak
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3756 Santa Rosalia Dr, Los Angeles, CA, 90703-7208
Phone Number
323-292-7124
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B32930 01 CA DENTI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3756 Santa Rosalia Dr
City
Los Angeles
State
California
Zip
90008-3616
Phone Number
323-292-7124
Fax Number
person
Provider Business Mailing Address Details
Address
3756 Santa Rosalia Dr
City
Los Angeles
State
California
Zip
90008-3616
Phone Number
323-292-7124
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
32930 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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