Madhavi Durvasula DDS INC

NPI #1720828338 in Pleasanton, California

Provider Information

NPI Number: 1720828338
Entity Type: Organization
Organization Name: Madhavi Durvasula DDS INC
Primary Specialty: Dentist
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 5460 SUNOL BLVD STE 5
City: Pleasanton
State: California
ZIP Code: 94566-7752
Phone: (925) 880-8400

Authorized Official

Name: DR. MADHAVI K DURVASULA, DDS
Title: DENTIST/OWNER
Phone: (408) 930-2634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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