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1881791408
SRI SUDHA BOPPANA
BINGHAM FARMS, MI
NPI
1881791408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MI 2901017958)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
Dr. SRI SUDHA BOPPANA DDS, MS
30400 TELEGRAPH RD
BINGHAM FARMS, MI 48025-4537
Phone number: 248-901-0718
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Mailing Address
Dr. SRI SUDHA BOPPANA DDS, MS
6845 CARRINGTON CIR E
WEST BLOOMFIELD, MI 48322-2974
Phone number: 248-661-3748
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