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Organization
VIMALA VONTELA, INC.
Active
Organization
VIMALA VONTELA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIMALA VONTELA DDS (PRESIDENT)
(209) 823-7655
Entity
Organization
Contact information
Practice address
527 E CENTER ST, MANTECA, CA 95336-4719
(209) 823-7655
(209) 823-7656
Mailing address
527 E CENTER ST, MANTECA, CA 95336-4719
(209) 823-7655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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