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1770637688
SUPRAJA MUNDLA
CANTON, MI
NPI
1770637688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MI 2901018754)
Enumeration Date
2007-01-22
Last Update Date
2022-01-21
Business Address
DR. SUPRAJA MUNDLA DMD
5970 N LILLEY RD
CANTON, MI 48187-3625
Phone number: 734-981-5455
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Mailing Address
DR. SUPRAJA MUNDLA DMD
50723 DRAKES BAY DR
NOVI, MI 48374-2546
Phone number: 248-910-7500
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