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Individual

DR. UDAY BAHUNUTULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1040
Mailing address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9606
KY

Other

Enumeration date
03/11/2015
Last updated
11/10/2020
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