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Provider Information for 1114095114



DR. LINGA MURTHY VUPPALA D.D.S

Gender: MALE

Individual NPI: 1114095114

Calendar Last Updated: 2009-08-31

Details

Name Value
NPI 1114095114
Enumeration Date 2006-11-30
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 792 BATISTA DR
SAN JOSE, CA 95136-4850
United States

Phone: 408-667-5566 | Fax: 831-466-9483
View Map External Link
Primary Practice Address 1107 OCEAN ST
SANTA CRUZ, CA 95060-2818
United States

Phone: 831-600-3260 | Fax: 831-466-9483
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 51000
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location