| Dr. Sudha Gutti, Dmd. Inc. | |
|
612 Red Lane Rd Birmingham AL 35215-8236 | |
| (205) 833-5405 | |
| (205) 833-5091 |
| Full Name | Dr. Sudha Gutti, Dmd. Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 612 Red Lane Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Sudha Rani Gutti (PRESIDENT) |
| Authorized Official Contact | 2058335405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Sudha Gutti, Dmd. Inc. 3710 Chalybe Walk Hoover AL 35226-6282 Ph: (205) 833-5405 | Dr. Sudha Gutti, Dmd. Inc. 612 Red Lane Rd Birmingham AL 35215-8236 Ph: (205) 833-5405 |
| NPI Number | 1679848238 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679848238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5786 (Alabama) | Primary |
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