Organization
DR. PRATIBHA VEGULLA DDS
Active
Other names
Lotus Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIBHA VEGULLA DDS (OWNER)
(408) 348-2993
Entity
Organization
Contact information
Practice address
133 ARCH ST STE 4, REDWOOD CITY, CA 94062-1326
(650) 299-9990
Mailing address
133 ARCH ST STE 4, REDWOOD CITY, CA 94062-1326
(650) 299-9990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0700X
Prosthodontics
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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