SIVA PRAKASH KOLLA

BELLEVUE, WA
NPI1932376779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE60606397)
Enumeration Date2008-05-12
Last Update Date2023-07-17
Business Address
SIVA PRAKASH KOLLA DDS
16657 NORTHUP WAY
BELLEVUE, WA 98008-3045
Phone number: 724-393-2069
Mailing Address
SIVA PRAKASH KOLLA DDS
8316 W BURROUGHS RD
DEER PARK, WA 99006-9764
Phone number: 425-628-5353