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

Prasad Gonavarum DDS, Professional Corporation

Organization Dental Clinic/Center · NPI 1124689302

Prasad Gonavarum DDS, Professional Corporation is a Dental Clinic/Center in LA Mesa, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

7122 University Ave
LA Mesa, CA 91942-5926
Phone: (619) 698-5471
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124689302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prasad Gonavarum — President/Owner · (630) 788-5833
Other names Smiles Of La Mesa
NPI enumeratedJune 27, 2019
Last updated in NPPESJune 27, 2019
Mailing address7122 University Ave, La Mesa, CA 91942-5926

Other providers in LA Mesa