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Individual

ARCHANA GUTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3306 ANDREWS HWY, MIDLAND, TX 79703-5131
(432) 553-6133
Mailing address
3306 ANDREWS HWY, MIDLAND, TX 79703-5131
(432) 553-6133

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24561
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202112310
TX
Enumeration date
05/15/2009
Last updated
10/03/2018
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