| NPI | 1972817203 |
|---|---|
| Former Name | ANURADHA VALLABHANENI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27886) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D12860) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2021-06-08 |