Mannem, Sasi Kala
Mannem, Sasi Kala is an individual health care provider with primary practice located at 2103 Mchenry Avenue Suite C, Modesto CA 95350. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mannem, Sasi Kala can be contacted via phone (209) 435-9550.Contact Information
Primary practice address
2103 Mchenry Avenue Suite C
Modesto CA 95350
Phone: (209) 435-9550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19578 | Texas |
| Dental Providers / General Practice | 1223G0001X | 101387 | California |
Profile Details
| NPI number | 1831192251 |
|---|---|
| LBN Legal business name | Mannem, Sasi Kala |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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