ANKINEEDU BABU DASARI
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1821747775- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1102 S VIRGINIA ST STE B, HOPKINSVILLE, KY, 422403579
- Phone
- (270) 632-3088
- Fax
- (270) 632-8212
Specialties & Taxonomies
Dentist
License: MA #DL15131
Dentist
Primary License: KY #D-00100