Organization
DURAIAPPA DENTAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATRAMAN DURAIAPPA BDS (OWNER)
(507) 532-2233
Entity
Organization
Contact information
Practice address
304 W LYON ST, PO 448, MARSHALL, MN 56258-1308
(507) 532-2233
(507) 532-2234
Mailing address
304 W LYON ST, PO 448, MARSHALL, MN 56258-1308
(507) 532-2233
(507) 532-2234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11917
MN
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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