Individual
SRUTHI KURAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22010 EUREKA RD, TAYLOR, MI 48180-5233
(313) 766-0111
Mailing address
2162 BARROWCLIFFE DR NW, CONCORD, NC 28027-3324
(415) 405-6174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602392
MI
1223G0001X
General Practice Dentistry
1002316-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2020
Last updated
02/10/2025
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