| Parvathi Pokala Dds Incorporated | |
|
3737 Moraga Ave Ste B313 San Diego CA 92117-5481 | |
| (858) 274-0722 | |
| (858) 274-1175 |
| Full Name | Parvathi Pokala Dds Incorporated |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3737 Moraga Ave Ste B313, San Diego, California |
| Authorized Official Name and Position | Parvathi Koka Pokala (OWNER) |
| Authorized Official Contact | 8582740722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parvathi Pokala Dds Incorporated 3737 Moraga Ave Ste B313 San Diego CA 92117-5481 Ph: (858) 274-0722 | Parvathi Pokala Dds Incorporated 3737 Moraga Ave Ste B313 San Diego CA 92117-5481 Ph: (858) 274-0722 |
| NPI Number | 1013190172 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013190172 | NPI | - | NPPES |
| G92041-01 | Other | CA | DENTICAL IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 40296 (California) | Primary |
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