PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION

Clinic/Center - Dental

Active Organization
NPI: 1124689302

Practice Address

7122 UNIVERSITY AVE
La Mesa, CA 91942

Phone: (619) 698-5471

Specialties

Specialty Code Primary License
Clinic/Center - Dental 261QD0000X Yes -

Frequently Asked Questions

NPI 1124689302 is the National Provider Identifier for PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION, a Clinic/Center - Dental provider located in La Mesa, CA. This NPI was enumerated on June 27, 2019.

Quick Facts

NPI
1124689302
Type
Organization
Enumerated
Jun 27, 2019
Last Updated
Jun 27, 2019

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