Dr. Manvitha Kuchukulla, MDS
Dentist, Orofacial Pain in Glen Allen, VA. Individual provider (NPI-1).
NPI number1760073449
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1760073449
- Entity type
- Individual (NPI-1)
- Name
- Dr. Manvitha Kuchukulla
- Credential
- MDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2021
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X2210X | Dentist, Orofacial Pain | 016.0133997 | VT | Yes |
Practice location
5352 Twin Hickory RdGlen Allen, VA 23059-5682
Phone 804-335-0599
Mailing address
5352 Twin Hickory RdGlen Allen, VA 23059-5682
Phone 804-335-0599
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