Individual
SHILPA AVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
555 W BENJAMIN HOLT DR, SUITE 100, STOCKTON, CA 95207-3839
(209) 473-7888
(209) 472-2357
Mailing address
555 W BENJAMIN HOLT DR, BUILDING B, STOCKTON, CA 95207-3839
(209) 476-4700
(209) 478-6890
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
48880
CA
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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