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Deepli Malla Dds
Dental Clinic/Center in Selma, California
NPI 1235731548

Deepli Malla Dds is a Dental Clinic/Center based in Selma, CA and is specialized in Dental. Deepli Malla Dds practices in Selma, CA. The NPI Number for Deepli Malla Dds is 1235731548 and holds a License No. (California).

The current practice location address for Deepli Malla Dds is 2059 High St, Selma, CA and can be reached out via phone at 559-896-8888.

Location: 2059 High St, Selma, CA, 93662-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235731548
Provider Name
Deepli Malla Dds
Credential
Provider Entity Type
Organization
Address
2059 High St, Selma, CA, 93662-3512
Phone Number
559-896-8888
Fax Number
Provider Enumeration Date
11/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114536570 05 CA
institution
Provider Business Practice Location Address Details
Address
2059 High St
City
Selma
State
California
Zip
93662-3512
Phone Number
559-896-8888
Fax Number
person
Provider Business Mailing Address Details
Address
2059 High St
City
Selma
State
California
Zip
93662-3512
Phone Number
559-896-8888
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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