Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M Mallempalli Professional Dental Corporation

Organization Dental Clinic/Center · NPI 1679070791

M Mallempalli Professional Dental Corporation is a Dental Clinic/Center in Imperial Beach, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

600 Palm Ave Ste 116
Imperial Beach, CA 91932-1245
Phone: (619) 628-8123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 49586 (CA)

Record details

NPI number1679070791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manimanjari Mallempalli — President · (619) 628-8123
NPI enumeratedApril 6, 2018
Last updated in NPPESApril 6, 2018
Mailing address11412 Fairwind Ct, San Diego, CA 92130-8641

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