Individual
DR. SWETHA MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
954 52ND ST SE, KENTWOOD, MI 49508
(616) 724-1780
Mailing address
954 52ND ST SE, KENTWOOD, MI 49508-6004
(616) 724-1780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027628
IL
Other
Enumeration date
07/10/2008
Last updated
08/02/2018
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