Organization
DENTAL BRACES GURU PLLC
Active
Other names
Coral Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATHIMA KRISHNA ADUSUMILLI DMD, MS (OWNER)
(561) 212-3119
Entity
Organization
Contact information
Practice address
11330 WILES RD, CORAL SPRINGS, FL 33076-2113
(954) 418-2354
(954) 369-1440
Mailing address
11332 WILES RD, CORAL SPRINGS, FL 33076-2114
(954) 418-2354
(954) 369-1440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18968
FL
Other
Enumeration date
04/01/2016
Last updated
02/08/2019
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