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Parvathi Pokala Dds Incorporated
Pediatric Dentist in San Diego, California
NPI 1013190172

Parvathi Pokala Dds Incorporated is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Parvathi Pokala Dds Incorporated practices in San Diego, CA. The NPI Number for Parvathi Pokala Dds Incorporated is 1013190172 and holds a License No. 40296 (California).

The current practice location address for Parvathi Pokala Dds Incorporated is 3737 Moraga Ave Ste B313, San Diego, CA and can be reached out via phone at 858-274-0722 and via fax at 858-274-1175.

Location: 3737 Moraga Ave Ste B313, San Diego, CA, 92117-5481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013190172
Provider Name
Parvathi Pokala Dds Incorporated
Credential
Provider Entity Type
Organization
Address
3737 Moraga Ave Ste B313, San Diego, CA, 92117-5481
Phone Number
858-274-0722
Fax Number
858-274-1175
Provider Enumeration Date
12/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G92041-01 01 CA DENTICAL IDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
3737 Moraga Ave Ste B313
City
San Diego
State
California
Zip
92117-5481
Phone Number
858-274-0722
Fax Number
858-274-1175
person
Provider Business Mailing Address Details
Address
3737 Moraga Ave Ste B313
City
San Diego
State
California
Zip
92117-5481
Phone Number
858-274-0722
Fax Number
858-274-1175
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
40296 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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