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General NPI Number Information
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NPI Number | 1144196155
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Entity Type | Organization
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Legal Business Name | WALIA KAUR AND KATIREDDY DENTAL CORPORATION
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1240 W ROBINHOOD DR STE B
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City | STOCKTON
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State | CA
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Zip | 95207-5507
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Country | US
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Telephone | 209-956-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 W ROBINHOOD DR STE B
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City | STOCKTON
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State | CA
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Zip | 95207-5507
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Country | US
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Telephone | 209-956-0880
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | SUMANPREET WALIA
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Credential | DDS
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Telephone | 408-242-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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