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Organization
VIJAYA KV PRABHU.DDS. A PROFFESSIONAL CORP
Active
Organization
VIJAYA KV PRABHU.DDS. A PROFFESSIONAL CORP
Active
Other names
WestView Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABHU KV PRABHU DDS (PRESIDENT)
(858) 484-9977
Entity
Organization
Contact information
Practice address
13350 CAMINO DEL SUR, SUITE # 6, SAN DIEGO, CA 92129-4473
(858) 484-9977
(858) 484-9979
Mailing address
13350 CAMINO DEL SUR, SUITE # 6, SAN DIEGO, CA 92129-4473
(858) 484-9977
(858) 484-9979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
DENTIST-GENERAL PRACITICE
CA
Enumeration date
04/13/2007
Last updated
08/22/2020
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