M Mallempalli Professional Dental Corporation
NPI #1508363391 in Imperial Beach, California
Provider Information
- NPI Number
- 1508363391
- Entity Type
- Organization
- Organization Name
- M Mallempalli Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 9, 2018
- Last Updated
- Apr 9, 2018
Practice Location
- Address
- 600 PALM AVE.
- Address 2
- SUITE#116
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932
- Phone
- (619) 628-8123
Authorized Official
- Name
- DR. MANIMANJARI MALLEMPALLI, DDS
- Title
- DENTIST(PRESIDENT)
- Phone
- (760) 586-7056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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