Most Relevant Information
Provider Data
| NPI Number: | 1003359886 |
| Provider Name: | RAGHAVANAND SUNDARESH |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 10542 |
Most Important Dates
| Enumeration Date: | 11/28/2016 |
| Last Updated: | 05/15/2023 |
Provider Practice Location
620 N CHURCH ST STE 113
CHARLOTTE
NC
282023277
Practice Location Phone/Fax
| Phone: | 7047733771 |
| Fax: |
Provider Mailing Location
PO BOX 701031
CHARLOTTE
NC
28216
Provider Mailing Phone/Fax
| Phone: | 7047733771 |
| Fax: |