Individual
DR. PARVATHI KOKA POKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8031 LINDA VISTA RD STE 200, SAN DIEGO, CA 92111-5110
(858) 278-8700
(858) 278-4997
Mailing address
8031 LINDA VISTA RD STE 200, SAN DIEGO, CA 92111-5110
(858) 278-8700
(858) 278-4997
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92041-01
DENTI CAL IDENTIFICATION
CA
Enumeration date
10/05/2006
Last updated
12/05/2014
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