Individual
NITIN SALLAPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
140 INDIAN AVE, VENICE, FL 34285-2629
(941) 485-7006
(941) 484-8799
Mailing address
140 INDIAN AVE, VENICE, FL 34285-2629
(941) 485-7006
(941) 484-8799
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14935
FL
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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