SHELLY GUPTA PENUMALLI

MAYFIELD HTS, OH
NPI1205908597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-026749)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
Dr. SHELLY GUPTA PENUMALLI
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124-6502
Phone number: 800-487-4867
Mailing Address
Dr. SHELLY GUPTA PENUMALLI
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124-6502
Phone number: 800-487-4867
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