Individual
SARAT NALLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7067 TIFFANY BLVD STE 260, POLAND, OH 44514-1958
(330) 629-9021
(330) 965-9237
Mailing address
7067 TIFFANY BLVD STE 260, POLAND, OH 44514-1958
(330) 629-9021
(330) 965-9237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30020901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2109668
—
OH
Enumeration date
09/16/2006
Last updated
07/08/2007
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