Individual
DR. CHANDRIKA PAVANI MALLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
445 MILAN DR UNIT 106, SAN JOSE, CA 95134-2484
(510) 676-9953
Mailing address
445 MILAN DR UNIT 106, SAN JOSE, CA 95134-2484
(510) 676-9953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103311
CA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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