Individual
DR. SHILPA PRIYA MANGALAMPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 6TH AVE STE 201, TACOMA, WA 98406-2618
(253) 759-5437
Mailing address
5401 6TH AVE STE 201, TACOMA, WA 98406-2618
(253) 756-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61086916
WA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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