Individual
PAVAN NARLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 N WILMOT RD, TUCSON, AZ 85711-1711
(520) 745-6871
Mailing address
2332 W ENFIELD WAY, CHANDLER, AZ 85286-6717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009293
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2016
Last updated
07/11/2016
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