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Individual

DR. MANVITHA KUCHUKULLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MDS

Contact information

Practice address
5352 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 335-0599
Mailing address
5352 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 335-0599

Taxonomy

Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
016.0133997
VT

Other

Enumeration date
01/27/2021
Last updated
05/04/2023
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