Individual
DR. AKHILESHA PUVVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 MISSION ST STE 323, SAN FRANCISCO, CA 94110-2463
(415) 692-0273
Mailing address
351 BRIGHTON AVE APT 543, SAN FRANCISCO, CA 94112-2378
(650) 384-5799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109393
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2023
Last updated
09/12/2023
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