Organization
KUPPERI AND KOMMINENI DDS PLLC
Active
Other names
Dental designs of Marvin gardens
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANATH KOMMINENI (DOCTOR/MANAGER)
(980) 256-8817
Entity
Organization
Contact information
Practice address
1619 S PROVIDENCE RD STE 120, WAXHAW, NC 28173-0424
(704) 627-8327
(704) 370-9571
Mailing address
1619 S PROVIDENCE RD STE 120, WAXHAW, NC 28173-0424
(704) 627-8327
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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