| NPI | 1376278424 |
|---|---|
| Doing Business As | DENTIST IN BOWIE |
| Entity Type | Organization |
| Authorized Contact | SREEKANTH REDDY EMANI Manager 803-233-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |