Organization
SHILPA KONERU DDS PLLC 2
Active
Other names
Wake Cross Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPA KONERU (EMPLOYEE)
(248) 462-3196
Entity
Organization
Contact information
Practice address
4008 MITCHELL MILL RD, RALEIGH, NC 27616-8894
(919) 453-0777
Mailing address
4008 MITCHELL MILL RD, RALEIGH, NC 27616-8894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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