Individual
DR. PRATHIMA KRISHNA ADUSUMILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.D.S, D.M.D, M.S
Contact information
Practice address
11332 WILES RD, CORAL SPRINGS, FL 33076-2114
(954) 418-2354
Mailing address
11833 NW 79TH CT, CORAL SPRINGS, FL 33076-3562
(561) 212-3119
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18968
FL
Other
Enumeration date
11/11/2010
Last updated
06/09/2014
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