Supriya Suraj Vasanth DMD

NPI 1164757027 - Dentist - 1223G0001X

NPI Details
NPI 1164757027
Gender Female
Enumeration Date 10/12/2009
Last Updated 10/12/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
67 N DOBSON RD
SUITE A-104
MESA AZ, 85201-6822, US
Phone (480) 668-1190
Fax
Business Location
1891 E ERIE ST
CHANDLER AZ, 85225-5250, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number D7837
Remove 1164757027 NPI Number
 

According to our database, Dr. Supriya Suraj Vasanth DMD NPI is 1164757027, taxonomy code is 1223G0001X and license number is D7837, license state is located at Arizona. Supriya Suraj Vasanth DMD physically located at 67 N Dobson Rd, Mesa AZ, 85201-6822. NPI Number Supriya Suraj Vasanth DMD has the Individual type.

Sponsored links

1164757027 NPI number is provided on an as is basis without warranty of any kind. 1164757027 is maintained by the National Plan & Provider Enumeration System. The contents of Supriya Suraj Vasanth DMD are for informational purposes only.