| Vimala Vontela, Inc. | |
|
527 E Center St Manteca CA 95336-4719 | |
| (209) 823-7655 | |
| (209) 823-7656 |
| Full Name | Vimala Vontela, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 527 E Center St, Manteca, California |
| Authorized Official Name and Position | Vimala Vontela (PRESIDENT) |
| Authorized Official Contact | 2098237655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vimala Vontela, Inc. 527 E Center St Manteca CA 95336-4719 Ph: (209) 823-7655 | Vimala Vontela, Inc. 527 E Center St Manteca CA 95336-4719 Ph: (209) 823-7655 |
| NPI Number | 1275241028 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275241028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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