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1700080793
PRAVEEN REDDY GUDIPATI
LILBURN, GA
NPI
1700080793
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Other Name
PRAVEEN REDDY GUDIPATI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN013554)
Enumeration Date
2007-06-13
Last Update Date
2011-08-24
Business Address
-- PRAVEEN REDDY GUDIPATI DMD
3993 LAWRENCEVILLE HWY NW 100 A
LILBURN, GA 30047-2897
Phone number: 770-279-2020
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Mailing Address
-- PRAVEEN REDDY GUDIPATI DMD
2705 AZALEA BLUFF DR
CUMMING, GA 30041-3207
Phone number: 404-966-7766
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