Individual
DR. VENKATA KRISHNA DIGUMARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
300 N MARTIN LUTHER KING STREET, L, LANGSTON, OK 73050
(806) 318-3909
Mailing address
17429 HAWKS TREE LN, EDMOND, OK 73012-7079
(806) 367-0989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6550
OK
Other
Enumeration date
08/11/2010
Last updated
10/23/2014
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