| NPI | 1902289648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINDHURA CITINENI President 919-225-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NC 9047) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |