| Potaraju Dental Services | |
|
2671 Cleveland Ave Columbus OH 43211-1647 | |
| (614) 268-8794 | |
| Not Available |
| Full Name | Potaraju Dental Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2671 Cleveland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Satya Potaraju (DENTIST/OWNER) |
| Authorized Official Contact | 6142688794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potaraju Dental Services 2671 Cleveland Ave Columbus OH 43211-1647 Ph: (614) 268-8794 | Potaraju Dental Services 2671 Cleveland Ave Columbus OH 43211-1647 Ph: (614) 268-8794 |
| NPI Number | 1023300241 |
|---|---|
| Provider Enumeration Date | 05/05/2011 |
| Last Update Date | 05/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023300241 | NPI | - | NPPES |
| 2578750 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30022194 (Ohio) | Primary |
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