Individual
DR. BHAVANI PARVATHANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS,DDS
Contact information
Practice address
1060 BRENTWOOD RD NE STE B-1, WASHINGTON, DC 20018
(202) 269-4746
(202) 269-6994
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14745
MD
1223G0001X
General Practice Dentistry
Primary
DEN1001111
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074332300
—
DC
Enumeration date
09/06/2007
Last updated
06/12/2019
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