Dr. Tara Vattadi, DDS
Dentist in Watsonville, CA. Individual provider (NPI-1).
NPI number1114554284
StatusActive
Last updated in NPPESNov 17, 2021
Details
- NPI
- 1114554284
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tara Vattadi
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Nov 17, 2021
- Last updated
- Nov 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 107043 | CA | Yes |
| 122300000X | Dentist | 019032705 | IL |
Practice location
98 Mariposa AveWatsonville, CA 95076-2660
Phone 831-724-1003
Mailing address
98 Mariposa AveWatsonville, CA 95076-2660
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All 21 Dentist providers in Watsonville · All 1,283 providers in Watsonville
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