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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