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Organization

DENTAL BRACES GURU PLLC

Active
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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 (ORTHODONTIST)
(954) 418-2354
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
07/08/2026
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