| Bharthi Charugundla Dmd Pllc | |
|
19301 Se 34th St Camas WA 98607-8881 | |
| (360) 369-6420 | |
| (360) 369-4527 |
| Full Name | Bharthi Charugundla Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19301 Se 34th St, Camas, Washington |
| Authorized Official Name and Position | Bharathi Charugundla (OWNER) |
| Authorized Official Contact | 3603696420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bharthi Charugundla Dmd Pllc 19301 Se 34th St Camas WA 98607-8881 Ph: (360) 369-6420 | Bharthi Charugundla Dmd Pllc 19301 Se 34th St Camas WA 98607-8881 Ph: (360) 369-6420 |
| NPI Number | 1568912434 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568912434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60656547 (Washington) | Primary |
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