Individual
JAGRITI VANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2945 NEW BERN AVE, RALEIGH, NC 27610-1213
(919) 834-4932
Mailing address
108 SHURLING PL, CARY, NC 27519-7588
(919) 601-2997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14282
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2025
Last updated
06/20/2025
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