Individual
DEEPTHI SREE RACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1589 SKEET CLUB RD STE 150, HIGH POINT, NC 27265-8820
(404) 314-6704
Mailing address
1589 SKEET CLUB RD STE 150, HIGH POINT, NC 27265-8820
(860) 977-1745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13469
CT
1223G0001X
General Practice Dentistry
Primary
13632
NC
Other
Enumeration date
07/07/2022
Last updated
08/28/2024
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