Uma Deepthi Potluri
Dentist in Fort Worth, TX. Individual provider (NPI-1).
NPI number1366086589
StatusActive
Last updated in NPPESOct 31, 2019
Details
- NPI
- 1366086589
- Entity type
- Individual (NPI-1)
- Name
- Uma Deepthi Potluri
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2019
- Last updated
- Oct 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 35793 | TX | Yes |
Practice location
4200 South FwyFort Worth, TX 76115-1400
Phone 682-747-0001
Mailing address
2803 Riverside Pkwy Apt 2208Grand Prairie, TX 75050-8741
Phone 314-269-0871
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