Individual
RAGHAVANAND SUNDARESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 N CHURCH ST STE 113, CHARLOTTE, NC 28202-3277
(704) 773-3771
Mailing address
PO BOX 701031, CHARLOTTE, NC 28216
(704) 773-3771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10542
NC
Other
Enumeration date
11/28/2016
Last updated
05/15/2023
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