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Individual

DR. BHARGAVI VUDUDALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
203 ROCKY RD, MELISSA, TX 75454-2863
(774) 301-5632
Mailing address
5616 POOLEY LN, MCKINNEY, TX 75071-2191
(774) 301-5632

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
110856
CA
122300000X
Dentist
Primary
40949
TX

Other

Enumeration date
10/02/2024
Last updated
03/19/2025
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