Sudha Byreddy
Dentist, General Practice in Kennesaw, GA. Individual provider (NPI-1).
NPI number1700512852
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1700512852
- Entity type
- Individual (NPI-1)
- Name
- Sudha Byreddy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2022
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN122815 | GA | Yes |
Practice location
3525 Busbee Dr NwKennesaw, GA 30144-5677
Phone 404-771-5345
Mailing address
3525 Busbee Dr NwKennesaw, GA 30144-5677
Phone 404-771-5345
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All 58 General Practice Dentistry providers in Kennesaw · All 2,326 providers in Kennesaw
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