Individual
PRIYANKA PANTHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4309 BRIDLE RUN DR, RALEIGH, NC 27606-7428
(812) 241-0837
Mailing address
4309 BRIDLE RUN DR, RALEIGH, NC 27606-7428
(812) 241-0837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13440
NC
122300000X
Dentist
DN1857490
MA
Other
Enumeration date
01/12/2017
Last updated
09/03/2024
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