Organization
SUGANYA NELATOOR,D.D.S.,P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUGANYA NELATOOR DDS (DENTIST/OWNER)
(703) 400-5975
Entity
Organization
Contact information
Practice address
102 E WAXHAW PROFESSIONAL PARK DRIVE, WAXHAW, NC 28173
(703) 400-5375
Mailing address
102 E WAXHAW PROFESSIONAL PARK DRIVE, WAXHAW, NC 28173
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
09619
NC
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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