Individual
PADMA PRIYA KANDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6480 TRYON RD STE A, CARY, NC 27518-7050
(919) 277-7840
Mailing address
12450 CLEVELAND RD STE 100, GARNER, NC 27529-8355
(919) 772-9927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11520
NC
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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