Vijay Munagala DDS INC
Clinic/Center, Dental in Castro Valley, CA. Organization (NPI-2).
NPI number1760032007
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1760032007
- Entity type
- Organization (NPI-2)
- Legal business name
- Vijay Munagala DDS INC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2019
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
20212 Redwood Rd Ste 101Castro Valley, CA 94546-4324
Phone 510-886-6416 · Fax 510-886-4827
Mailing address
2245 Tahiti DrSan Ramon, CA 94582-1432
Phone 240-529-5987
Authorized official
Vijay Munagala
Dentist
5108866416
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