Individual
DR. VANILA GODARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 ALTON PKWY, STE 202 & 208, IRVINE, CA 92606-5034
(714) 557-7744
Mailing address
2500 ALTON PKWY STE 202&208, IRVINE, CA 92606-5024
(714) 557-7744
(714) 540-5718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS103737
CA
122300000X
Dentist
DE60390138
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS103737
CA
Other
Enumeration date
07/01/2013
Last updated
01/27/2025
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