Organization
KROTHAPALLI DENTAL GROUP GRANVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANARAO KROTHAPALLI (DENTIST)
(617) 223-1652
Entity
Organization
Contact information
Practice address
592 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(740) 587-1631
Mailing address
592 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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