| Madhavi Durvasula Dds Inc | |
|
5460 Sunol Blvd Ste 5 Pleasanton CA 94566-7752 | |
| (925) 880-8400 | |
| (925) 430-6220 |
| Full Name | Madhavi Durvasula Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5460 Sunol Blvd Ste 5, Pleasanton, California |
| Authorized Official Name and Position | Madhavi K Durvasula (DENTIST/OWNER) |
| Authorized Official Contact | 4089302634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madhavi Durvasula Dds Inc 5460 Sunol Blvd Ste 5 Pleasanton CA 94566-7752 Ph: (408) 930-2634 | Madhavi Durvasula Dds Inc 5460 Sunol Blvd Ste 5 Pleasanton CA 94566-7752 Ph: (925) 880-8400 |
| NPI Number | 1720828338 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720828338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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