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PREETI PRAKASH

>> Dentist >> Dental Providers

Registrant NPI Number: 1629309042

Individual Registrant:
 PREETI  PRAKASH 
Gender: F
Sole Proprietor

Location and contact information for practice:
476 E WASHINGTON AVE  EARLIMART, CA 93219 US
Tel: 661-849-2781  Fax: --

Contact information for business:
2524 W MEMORY LN  PORTERVILLE, CA 93257-6929 US
Tel: --  Fax: --

Registration Information:
NPI: 1629309042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
TX25138
Y122300000XDental Providers
Dentist
CA57702

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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