Individual
NAGA SUCHARITHA TADEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
400C SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834-2974
(804) 835-5876
Mailing address
1630 N SYDENHAM ST UNIT 3, PHILADELPHIA, PA 19121-3418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415709
VA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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