PRASANNA KUMAR SHIVAPUJA

ROSEVILLE, MI
NPI1710067095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MI  14629)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. PRASANNA KUMAR SHIVAPUJA BDS,MDS,DDS,MS ortho
25979 KELLY RD
ROSEVILLE, MI 48066-4941
Phone number: 586-779-3440
Mailing Address
Dr. PRASANNA KUMAR SHIVAPUJA BDS,MDS,DDS,MS ortho
25979 KELLY RD
ROSEVILLE, MI 48066-4941
Phone number: 586-779-3440
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