| NPI | 1568198117 |
|---|---|
| Doing Business As | LOTUS DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PRATIBHA VEGULLA Owner 408-348-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |