M Mallempalli Professional Dental Corporation
NPI #1679070791 in Imperial Beach, California
Provider Information
- NPI Number
- 1679070791
- Entity Type
- Organization
- Organization Name
- M Mallempalli Professional Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 6, 2018
- Last Updated
- Apr 6, 2018
Practice Location
- Address
- 600 PALM AVE STE 116
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932-1245
- Phone
- (619) 628-8123
Authorized Official
- Name
- DR. MANIMANJARI MALLEMPALLI, DDS
- Title
- PRESIDENT
- Phone
- (619) 628-8123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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