Individual
BHAVANA TADIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS MBS
Contact information
Practice address
5969 E BROAD STREET SUITE 303, CLEVELAND DENTAL INSTITUTE MT CARMEL MEDICAL BUILDING 4, COLUMBUS, OH 43213
(614) 626-8822
Mailing address
5969 E BROAD STREET SUITE 303, CLEVELAND DENTAL INSTITUTE MT CARMEL MEDICAL BUILDING 4, COLUMBUS, OH 43213
(614) 626-8822
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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