Individual
DR. MADHAVI BHOOMPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6115 ABBOTTS BRIDGE RD, APT 1901, DULUTH, GA 30097-5751
(678) 691-7219
Mailing address
6115 ABBOTTS BRIDGE RD, APT 1901, DULUTH, GA 30097-5751
(678) 691-7219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013603
GA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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