Organization
POTARAJU DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATYA POTARAJU DDS (DENTIST/OWNER)
(614) 268-8794
Entity
Organization
Contact information
Practice address
2671 CLEVELAND AVE, COLUMBUS, OH 43211-1647
(614) 268-8794
Mailing address
2671 CLEVELAND AVE, COLUMBUS, OH 43211-1647
(614) 268-8794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022194
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2578750
—
OH
Enumeration date
05/05/2011
Last updated
05/05/2011
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