Provider Demographics
NPI:1356847438
Name:ARVINDA REDDY KUNDURU, DDS INC.
Entity Type:Organization
Organization Name:ARVINDA REDDY KUNDURU, DDS INC.
Other - Org Name:INFINITE SMILES FAMILY & COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNDURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-433-8798
Mailing Address - Street 1:5440 MOREHOUSE DR STE 1800
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-6705
Mailing Address - Country:US
Mailing Address - Phone:858-433-8798
Mailing Address - Fax:
Practice Address - Street 1:5440 MOREHOUSE DR STE 1800
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-6705
Practice Address - Country:US
Practice Address - Phone:858-433-8798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47502261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental