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Organization
MALLEMPALLI DDS INC
Active
Organization
MALLEMPALLI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIMANJARI MALLEMPALLI (PRESIDENT)
(858) 549-8045
Entity
Organization
Contact information
Practice address
9359 MIRA MESA BLVD, N/A, SAN DIEGO, CA 92126-4816
(858) 549-8045
(858) 527-1572
Mailing address
9359 MIRA MESA BLVD, N/A, SAN DIEGO, CA 92126-4816
(858) 549-8045
(858) 527-1572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49586
CA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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