Organization
NEELAGIRI DENTAL GROUP INC
Active
Other names
Clove Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA NEELAGIRI DDS (PRESIDENT)
(408) 802-5270
Entity
Organization
Contact information
Practice address
43625 MISSION BLVD STE 105, FREMONT, CA 94539-5800
(510) 656-7424
(510) 226-7424
Mailing address
6011 MILANO TER, FREMONT, CA 94555-1853
(510) 402-4432
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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