Individual
ANUPAMA VURUGONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2064 BALDWIN ST, JENISON, MI 49428-8773
(616) 475-2299
Mailing address
3269 ABERDEEN AVE, ZEELAND, MI 49464-8604
(616) 510-0884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019943
MI
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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