NPI | 1356101711 |
---|---|
Doing Business As | DENTIST IN CONCORD LLC |
Entity Type | Organization |
Authorized Contact | SREEKANTH REDDY EMANI President 803-830-6881 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-03-21 |