| NPI | 1649045527 |
|---|---|
| Doing Business As | PINEVILLE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | SUDHA M EDPUGANTI Owner 980-226-8891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |