Individual
DR. PRATHEEK CHOUDARY KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8505 DAVIS LAKE PKWY, CHARLOTTE, NC 28269-3415
(980) 430-6822
Mailing address
7312 HAGEN CT APT 1616, CHARLOTTE, NC 28262-4044
(630) 881-4745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11436
NC
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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