Parvathi Pokala Dds Incorporated in San Diego - Pediatric Dentistry

Parvathi Pokala Dds Incorporated - NPI 1013190172

Parvathi Pokala Dds Incorporated is a Pediatric Dentistry in San Diego, California. Parvathi Pokala Dds Incorporated practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Parvathi Pokala Dds Incorporated is 1013190172. The last update date is 2007-12-12.

Parvathi Pokala Dds Incorporated's current location address is 3737 Moraga Ave Ste B313, San Diego, California. You can contact this provider via phone number 8582740722 and fax number 8582741175. The mailing address for Parvathi Pokala Dds Incorporated is 3737 Moraga Ave Ste B313, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Parvathi Pokala Dds Incorporated
Address 3737 Moraga Ave Ste B313, San Diego, California
Phone Number 8582740722
Fax Number 8582741175
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pokala Koka Parvathi
Credentials DDS
Telephone Number 8582740722

NPI Number Detail

NPI Number 1013190172
Provider Enumeration Date 2007-12-12
Last Updated Date 2007-12-12

Provider Mailing Address Detail

Address 3737 Moraga Ave Ste B313
City San Diego
State California (CA)
Post Code 921175481
Phone Number 8582740722
Fax Number 8582741175

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 40296
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G92041-01 CA DENTICAL IDENTIFICATION

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FAQs about Parvathi Pokala Dds Incorporated

What is the unique identification code assigned to Parvathi Pokala Dds Incorporated by the Centers for Medicare & Medicaid Services?

The Parvathi Pokala Dds Incorporated has been issued the NPI (National Provider Identifier) 1013190172. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Parvathi Pokala Dds Incorporated?

The Parvathi Pokala Dds Incorporated is situated at 3737 Moraga Ave Ste B313, in the city of San Diego, state of CA, with the zip code 921175481.

What is the area of specialization for Parvathi Pokala Dds Incorporated, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Parvathi Pokala Dds Incorporated is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

When did the Parvathi Pokala Dds Incorporated receive its 1013190172?

The Parvathi Pokala Dds Incorporated was issued its 1013190172 on 2007-12-12, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Parvathi Pokala Dds Incorporated most recently updated or revised?

The details related to Parvathi Pokala Dds Incorporated, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-12.

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