Individual
KEERTHANA MESINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
810 BRAYDEN PKWY APT 109, FORT MILL, SC 29708-0198
(980) 322-5011
Mailing address
1018 N CALDWELL ST APT 420, CHARLOTTE, NC 28206-3678
(980) 322-5011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10565
SC
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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