Individual
DR. DEVAN DALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2733 ELK GROVE BLVD, SUITE 180, ELK GROVE, CA 95758-7165
(916) 975-1000
Mailing address
3108 E PINTAIL WAY, ELK GROVE, CA 95757-8206
(646) 427-6519
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02540600
NJ
122300000X
Dentist
Primary
DDS63130
CA
Other
Enumeration date
06/25/2013
Last updated
03/19/2025
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