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Individual
VENKATA BHARGAV CHIVUKULA
Active
Individual
VENKATA BHARGAV CHIVUKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110749
CA
1223G0001X
General Practice Dentistry
DN29583
FL
Other
Enumeration date
08/22/2024
Last updated
09/10/2024
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