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Individual

DR. MADHAVI POTLURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
4701 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2719
(623) 245-8461
(623) 247-0444
Mailing address
401 EDGEWATER PL, SUITE 430, WAKEFIELD, MA 01880-6201
(781) 224-0880
(781) 224-4216

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7447
AZ

Other

Enumeration date
03/18/2008
Last updated
04/04/2012
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