Individual
LAVANYA SIREESHA PUTCHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1432 E MAIN ST, LINCOLNTON, NC 28092-3902
(704) 276-7541
Mailing address
2318 CAMPBELL COVE CT, BELMONT, NC 28012-9638
(980) 525-2869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13516
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2023
Last updated
10/23/2023
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