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PRAVEENA PERMALLA DDS INC NPI 1356654594


NPI Information

NPI: 1356654594
Provider Name: PRAVEENA PERMALLA, DDS, INC

Doing Business As: PERMALLA DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
855 LAKEVILLE ST
SUITE 101
PETALUMA, CA
ZIP 94952
Phone: (707) 773-1234
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PRAVEENA PERMALLA, DDS, INC is a general practice dentist in Petaluma, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PRAVEENA PERMALLA, DDS, INC NPI is 1356654594. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Permalla Dental Care.

The provider's business location address is:

855 LAKEVILLE ST
SUITE 101
PETALUMA, CA
ZIP 94952-328
Phone: (707) 773-1234

The provider's authorized official is Praveena Permalla .
The authorized official title is President and has the following contact phone number (707) 773-1234.

The enumeration date for this NPI number is 7/16/2010 and was last updated on 7/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice54953CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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