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Dr. Parvathi Koka Pokala, DDS
Pediatric Dentist in San Diego, California
NPI 1548356686

Parvathi Koka Pokala is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Parvathi Koka Pokala practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Parvathi Koka Pokala is 1548356686 and holds a License No. 40296 (California).

The current practice location address for Parvathi Koka Pokala is 8031 Linda Vista Rd Ste 200, San Diego, CA and can be reached out via phone at 858-278-8700 and via fax at 858-278-4997.

Location: 8031 Linda Vista Rd Ste 200, San Diego, CA, 92111-5110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548356686
Provider Name
Parvathi Koka Pokala
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
8031 Linda Vista Rd Ste 200, San Diego, CA, 92111-5110
Phone Number
858-278-8700
Fax Number
858-278-4997
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G92041-01 01 CA DENTI CAL IDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
8031 Linda Vista Rd Ste 200
City
San Diego
State
California
Zip
92111-5110
Phone Number
858-278-8700
Fax Number
858-278-4997
person
Provider Business Mailing Address Details
Address
8031 Linda Vista Rd Ste 200
City
San Diego
State
California
Zip
92111-5110
Phone Number
858-278-8700
Fax Number
858-278-4997
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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