Individual
LAKSHMI SUDHA GUDHIMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MS, MBA
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40292-7001
(502) 852-2621
Mailing address
401 E CHESTNUT ST UNIT 550, LOUISVILLE, KY 40202-5705
(502) 852-2621
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10027
KY
Other
Enumeration date
02/16/2016
Last updated
08/20/2024
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