Organization
BHARTHI CHARUGUNDLA DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARATHI CHARUGUNDLA DMD (OWNER)
(360) 369-6420
Entity
Organization
Contact information
Practice address
19301 SE 34TH ST, CAMAS, WA 98607-8881
(360) 369-6420
(360) 369-4527
Mailing address
19301 SE 34TH ST, CAMAS, WA 98607-8881
(360) 369-6420
(360) 369-4527
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60656547
WA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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