Individual
RAJINI KONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8433 CHARLOTTE HWY, FORT MILL, SC 29707-2970
(630) 748-9444
Mailing address
2009 PROVIDENCE FOREST DR, WEDDINGTON, NC 28104
(630) 748-9444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS038358
PA
1223G0001X
General Practice Dentistry
Primary
SC9059
SC
Other
Enumeration date
07/05/2010
Last updated
06/17/2019
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