Individual
DR. ASHA PARVATHI LALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3152 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-2774
(612) 728-8888
(612) 724-2737
Mailing address
3152 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-2774
(612) 728-8888
(612) 724-2737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12171
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712487200
—
MN
Enumeration date
09/27/2006
Last updated
07/09/2007
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