Individual
ANIL KUMAR KUDUMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 COBB PKWY S, SUITE A-13, MARIETTA, GA 30060-9320
(770) 425-6333
(770) 425-9906
Mailing address
270 COBB PKWY S, SUITE A-13, MARIETTA, GA 30060-9320
(770) 425-6333
(770) 425-9906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013391
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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