Individual
MADHURI KATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3875 CONLON WAY STE A, ELIZABETH CITY, NC 27909-9607
(252) 679-3143
Mailing address
113 RIVER COVE LN, HERTFORD, NC 27944-9133
(205) 960-2458
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12402
NC
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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