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Individual

TEJA KOTRESH NERAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
509 OLIVE WAY STE 1230, SEATTLE, WA 98101-1745
(206) 622-6693
Mailing address
509 OLIVE WAY STE 1230, SEATTLE, WA 98101-1745
(206) 622-6693

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60962950
WA

Other

Enumeration date
07/08/2019
Last updated
07/08/2019
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