| Koka Dental Corporation | |
|
8031 Linda Vista Rd Suite 210 San Diego CA 92111-5110 | |
| (858) 268-5020 | |
| (858) 268-5030 |
| Full Name | Koka Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8031 Linda Vista Rd, San Diego, California |
| Authorized Official Name and Position | Sreenivas Koka (OWNER) |
| Authorized Official Contact | 8582685020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koka Dental Corporation 8031 Linda Vista Rd Suite 210 San Diego CA 92111-5110 Ph: (858) 268-5020 | Koka Dental Corporation 8031 Linda Vista Rd Suite 210 San Diego CA 92111-5110 Ph: (858) 268-5020 |
| NPI Number | 1346626066 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346626066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 63470 (California) | Primary |
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