Individual
BHAVYA GURUGUNTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 RAYFORD RD STE 101, SPRING, TX 77386-4854
(281) 612-4141
Mailing address
130 CHATSWORTH LN, SHENANDOAH, TX 77384-1551
(832) 797-4499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37512
TX
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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