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Divya Peddireddy Dental Corporation
Dental Clinic/Center in Costa Mesa, California
NPI 1164287710

Divya Peddireddy Dental Corporation is a Dental Clinic/Center based in Costa Mesa, CA and is specialized in Dental. Divya Peddireddy Dental Corporation practices in Costa Mesa, CA. The NPI Number for Divya Peddireddy Dental Corporation is 1164287710 and holds a License No. (California).

The current practice location address for Divya Peddireddy Dental Corporation is 3070 Bristol St Ste 180, Costa Mesa, CA and can be reached out via phone at 714-924-4824.

Location: 3070 Bristol St Ste 180, Costa Mesa, CA, 92626-3072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164287710
Provider Name
Divya Peddireddy Dental Corporation
Credential
Provider Entity Type
Organization
Address
3070 Bristol St Ste 180, Costa Mesa, CA, 92626-3072
Phone Number
714-924-4824
Fax Number
Provider Enumeration Date
02/13/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3070 Bristol St Ste 180
City
Costa Mesa
State
California
Zip
92626-3072
Phone Number
714-924-4824
Fax Number
person
Provider Business Mailing Address Details
Address
3070 Bristol St Ste 180
City
Costa Mesa
State
California
Zip
92626-3072
Phone Number
714-924-4824
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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