Individual
PADMALATHA NAVUBOTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3824 MECHANICSVILLE TPKE, RICHMOND, VA 23223-1114
(804) 767-8747
Mailing address
5393 KIMBERMERE CT, GLEN ALLEN, VA 23060-9301
(310) 600-7688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413762
VA
Other
Enumeration date
09/12/2012
Last updated
07/22/2016
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