Individual
ANITHA POTLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MDS
Contact information
Practice address
3501 TERRACE STREET, SUITE 3189, PITTSBURGH, PA 15261
(412) 648-9100
(412) 383-7862
Mailing address
3501 TERRACE STREET, SUITE 3189, PITTSBURGH, PA 15261
(412) 648-9100
(412) 383-7862
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DS038285
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS038285
STATE LICENSE
PA
Enumeration date
06/23/2010
Last updated
06/23/2010
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