M.welikala Dmd., a Professional Corp

NPI #1679604227 in Moorpark, California

Provider Information

NPI Number: 1679604227
Entity Type: Organization
Organization Name: M.welikala Dmd., a Professional Corp
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 55 W LOS ANGELES AVE
City: Moorpark
State: California
ZIP Code: 93021-1820
Phone: (805) 523-3216

Authorized Official

Name: DR. MANOHARA WELIKALA, DMD
Title: OWNER
Phone: (805) 523-3216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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