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Organization
THATAVARTHY FAMILY DENTAL PLLC
Active
Organization
THATAVARTHY FAMILY DENTAL PLLC
Active
Other names
Orange Grove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIVIDYA VULUGUNDAM DDS (GENERAL DENTIST)
(571) 294-8153
Entity
Organization
Contact information
Practice address
4122 ROWAN RD, NEW PORT RICHEY, FL 34653-6122
(727) 645-6943
Mailing address
9319 MANGROVE CT, TAMPA, FL 33647-3356
(571) 294-8153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/26/2024
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