Organization · Type 2 NPI
Prasad Gonavarum D.d.s., Professional Corporation
Dental Clinic/Center · La Mesa, CA
NPI number
1124689302
Active
Practice location
7122 University Ave
La Mesa, CA 91942-5926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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- Brien K. Hill Dds, Tamara L. Schneidmiller DDSDental Clinic/Center La Mesa, CA NPI 1508640194
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About NPI 1124689302
Prasad Gonavarum D.d.s., Professional Corporation's National Provider Identifier is 1124689302, issued on Jun 27, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Mesa, CA. The record was last updated on Jun 27, 2019.