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General NPI Number Information
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NPI Number | 1609748656
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Entity Type | Organization
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Legal Business Name | KAVETY DENTAL CORP.
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 19500 PLUMMER ST
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City | NORTHRIDGE
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State | CA
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Zip | 91324-2144
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Country | US
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Telephone | 818-292-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3746
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Country | US
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Telephone | 626-616-3977
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. PALLAVI KAVETY
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Credential | D.D.S
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Telephone | 626-616-3977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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