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General NPI Number Information
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NPI Number | 1932052370
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Entity Type | Organization
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Legal Business Name | MIMANSA CHOLERA DDS DENTAL CORPORATION
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 38690 STIVERS ST STE B
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City | FREMONT
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State | CA
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Zip | 94536-5279
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Country | US
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Telephone | 650-445-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 2358 VELOCITY CMN UNIT 205
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City | FREMONT
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State | CA
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Zip | 94539-6156
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Country | US
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Telephone | 650-445-1710
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. MIMANSA CHOLERA
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Credential | DDS
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Telephone | 650-445-1710
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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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