Organization
KOKA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREENIVAS KOKA DDS, PHD (OWNER)
(858) 268-5020
Entity
Organization
Contact information
Practice address
8031 LINDA VISTA RD, SUITE 210, SAN DIEGO, CA 92111-5110
(858) 268-5020
(858) 268-5030
Mailing address
8031 LINDA VISTA RD, SUITE 210, SAN DIEGO, CA 92111-5110
(858) 268-5020
(858) 268-5030
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63470
CA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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