Individual
SUNDARA RAMADURGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14212 AMBAUM BLVD SW STE 1, BURIEN, WA 98166
(206) 343-0000
Mailing address
14212 AMBAUM BLVD SW STE 1, BURIEN, WA 98166-1437
(206) 343-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019
IL
122300000X
Dentist
Primary
60889681
WA
122300000X
Dentist
6857
NV
Other
Enumeration date
07/31/2014
Last updated
02/11/2019
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