Individual
BHAVANI S ACHUNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N6571 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 387-5511
Mailing address
581 TIMBER CREEK CIR, BLACK RIVER FALLS, WI 54615-8108
(419) 819-6156
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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