PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION

LA MESA, CA
NPI1124689302
Entity TypeOrganization
Authorized ContactPRASAD GONAVARUM
President/Owner
630-788-5833
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2019-06-27
Last Update Date2019-06-27
Business Address
PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION
7122 UNIVERSITY AVE
LA MESA, CA 91942-5926
Phone number: 619-698-5471
Mailing Address
PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION
7122 UNIVERSITY AVE
LA MESA, CA 91942-5926
Phone number: 619-698-5471
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