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Individual

DR. KUMARRAGHAVACHOWDARY ANNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
161 JAMES WAY, MARION, OH 43302-5892
(740) 692-7100
Mailing address
161 JAMES WAY, MARION, OH 43302-5892
(740) 692-7100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.24827
OH

Other

Enumeration date
07/01/2016
Last updated
09/21/2022
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