Individual
POORNIMA VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
468 NC-24 #87, CAMERON, NC 28326
(919) 498-0575
Mailing address
1019 S PARK WAY, SANFORD, NC 27332-1243
(651) 260-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12903
NC
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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