# KROTHAPALLI DENTAL GROUP COLUMBUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578070421
- **Authorized official:** DR. NANARAO KROTHAPALLI DMD (DENTIST)
- **Authorized official phone:** (617) 223-1652

## Contact information

- **Practice address:** 6465 E BROAD ST, COLUMBUS, OH 43213-1576
- **Practice address phone:** (614) 626-4943
- **Mailing address:** 135 HOFF RD STE B, WESTERVILLE, OH 43082-7184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/01/2018
- **Last updated:** 01/01/2018