Individual
DR. PRATHYUSHA VADLAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1756 CANDLER RD, DECATUR, GA 30032-3277
(470) 823-1430
Mailing address
400 E DIAMOND AVE, EVANSVILLE, IN 47711-3714
(844) 809-4163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10053
TN
1223G0001X
General Practice Dentistry
12012340A
IN
1223G0001X
General Practice Dentistry
DD4758
NM
1223G0001X
General Practice Dentistry
Primary
DN122195
GA
Other
Enumeration date
06/15/2015
Last updated
01/06/2021
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