Individual
SHRUTHI VENUGOPALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25610 104TH AVE SE, KENT, WA 98030-7610
(206) 913-7272
Mailing address
25610 104TH AVE SE, KENT, WA 98030-7610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DENT.DE.70007756
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2025
Last updated
08/21/2025
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