Suman Gorantla DMD

NPI 1023209434 - Dentist - 122300000X

NPI Details
NPI 1023209434
Gender Male
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1627 GOLDEN GATE PLZ
MAYFIELD HTS OH, 44124, US
Phone (440) 449-0852
Fax (440) 442-9844
Business Location
PO BOX 316
WILLIAMSVILLE NY, 14231, US
Phone (716) 204-4999
Fax (716) 632-2963
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 30022591
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According to our database, Dr. Suman Gorantla DMD NPI is 1023209434, taxonomy code is 122300000X and license number is 30022591, license state is located at Ohio. Suman Gorantla DMD physically located at 1627 Golden Gate Plz, Mayfield Hts OH, 44124. NPI Number Suman Gorantla DMD has the Individual type.

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1023209434 NPI number is provided on an as is basis without warranty of any kind. 1023209434 is maintained by the National Plan & Provider Enumeration System. The contents of Suman Gorantla DMD are for informational purposes only.