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1376942904
KRISHNAVENI GUTTIKONDA
LAS CRUCES, NM
NPI
1376942904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4341)
Additional Taxonomies
122300000X Dentist
(Licence: TX 30408)
Enumeration Date
2014-08-20
Last Update Date
2016-09-14
Business Address
-- KRISHNAVENI GUTTIKONDA DDS
1998 N MOTEL BLVD
LAS CRUCES, NM 88007-4100
Phone number: 575-541-5941
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Mailing Address
-- KRISHNAVENI GUTTIKONDA DDS
PO BOX 370
HATCH, NM 87937-0370
Phone number: 575-267-3280
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