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Provider Information for 1255773016



YOU SMILE DENTAL

Organization Subpart: NO

Organization NPI: 1255773016

Calendar   Last Updated:  2013-07-22
  Certification Date: 

Details

Name Value
NPI 1255773016
Enumeration Date 2013-07-22
NPI Type 2- Organization
Status Active
Authorized Official Information Name: DR. LINGA MURTHY VUPPALA DDS
Title: OWNER
Phone: 408-267-3655
Mailing Address 893 SUNSET DR
HOLLISTER, CA 95023
United States

Phone: 831-636-5391 | Fax: 831-636-5694
View Map External Link
Primary Practice Address 893 SUNSET DR
HOLLISTER, CA 95023-5601
United States

Phone: 831-636-5391 | Fax: 831-636-5694
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X - Dentist General Practice