Individual
DR. DILEEP R KONDUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
231 DAVIS RD, AUGUSTA, GA 30907-2407
(706) 863-4212
(706) 863-0087
Mailing address
231 DAVIS RD, AUGUSTA, GA 30907-2407
(706) 863-4212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DRPM2050
FL
1223P0300X
Periodontics
Primary
DN015814
GA
390200000X
Student in an Organized Health Care Education/Training Program
DN015814
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/02/2018
Last updated
12/03/2024
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