Individual
DR. BHARATHI CHARUGUNDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1320 SW 2ND AVE, PORTLAND, OR 97201-5833
(503) 224-1075
Mailing address
2138 NW THORNCROFT DR APT 814, HILLSBORO, OR 97124-9019
(650) 279-6250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9978
OR
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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