NPI 1003359886

Raghavanand Sundaresh

Practitioner Dentist Charlotte, NC

Practice location

Address: 620 N Church St STE 113, Charlotte, NC 28202-3277
Phone: (704) 773-3771
Mailing address: PO Box 701031, Charlotte, NC 28216

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 10542 (NC)

Other Dentist providers in North Carolina →

Registry record

NPI: 1003359886
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2016
Record last updated: 15 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.