| NPI | 1851125736 |
|---|---|
| Doing Business As | DENTIST IN LOUISVILLE |
| Entity Type | Organization |
| Authorized Contact | SREEKANTH REDDY EMANI Dentist 803-830-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-31 |
| Last Update Date | 2024-08-31 |