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Individual
DR. VENKATA RAMA KRISHNA RAO ADUSUMILLI
Active
Individual
DR. VENKATA RAMA KRISHNA RAO ADUSUMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30930
TX
122300000X
Dentist
DS040693
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30930
TEXAS DENTAL LICENSE
TX
01
—
PA040693
PA STATE DENTAL LICENSE
PA
Enumeration date
06/04/2015
Last updated
12/05/2024
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