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Organization
SUDHA M EDPUGANTI DDS PLLC
Active
Organization
SUDHA M EDPUGANTI DDS PLLC
Active
Other names
PINEVILLE DENTAL STUDIO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA M EDPUGANTI DDS (OWNER)
(980) 226-8891
Entity
Organization
Contact information
Practice address
10635 PARK RD STE B, CHARLOTTE, NC 28210-8408
(980) 226-8891
Mailing address
10635 PARK RD STE B, CHARLOTTE, NC 28210-8408
(980) 226-8891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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