Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRAVEENA PERMALLA, DDS, INC
Active
Organization
PRAVEENA PERMALLA, DDS, INC
Active
Other names
Permalla Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEENA PERMALLA DDS (PRESIDENT)
(707) 773-1234
Entity
Organization
Contact information
Practice address
855 LAKEVILLE ST, SUITE 101, PETALUMA, CA 94952-7328
(707) 773-1234
Mailing address
855 LAKEVILLE ST, SUITE 101, PETALUMA, CA 94952-7328
(707) 773-1234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54953
CA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up