Individual
BHARAT RAM CHOWDRY GUTTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1998 N MOTEL BLVD, LAS CRUCES, NM 88007-4100
(575) 541-5941
(575) 541-5048
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4457
NM
1223G0001X
General Practice Dentistry
28648
TX
Other
Enumeration date
03/13/2013
Last updated
08/08/2016
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