Organization
DENTIST IN POWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREEKANTH REDDY EMANI DDS (MANAGER)
(803) 830-6881
Entity
Organization
Contact information
Practice address
4091 POWELL RD, POWELL, OH 43065-7372
(803) 830-6881
Mailing address
1305 KNOX ABBOTT DR STE 101, CAYCE, SC 29033-3348
(803) 233-6141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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