Individual
NITHA RAGHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8565 EASTCHASE PKWY, MONTGOMERY, AL 36117-7131
(334) 277-5498
Mailing address
10745 PLANTATION DR, ALPHARETTA, GA 30022-6678
(678) 670-4664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D007564-C1
AL
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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