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1023209434
SUMAN GORANTLA
WICHITA, KS
NPI
1023209434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 30022591)
Enumeration Date
2007-08-09
Last Update Date
2021-04-23
Business Address
Dr. SUMAN GORANTLA DMD
7015 E CENTRAL AVE
WICHITA, KS 67206-1943
Phone number: 316-684-5184
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Mailing Address
Dr. SUMAN GORANTLA DMD
7015 E CENTRAL AVE
WICHITA, KS 67206-1943
Phone number: 316-684-5184
Copy
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