Individual
KRISHNAVENI GUTTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1998 N MOTEL BLVD, LAS CRUCES, NM 88007-4100
(575) 541-5941
(575) 541-5048
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30408
TX
122300000X
Dentist
Primary
DD4341
NM
Other
Enumeration date
08/20/2014
Last updated
09/14/2016
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