Individual
MADHURI VANAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
23349 SE 52ND ST, ISSAQUAH, WA 98029-6811
(425) 427-8215
Mailing address
23349 SE 52ND ST, ISSAQUAH, WA 98029-6811
(425) 427-8215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009946
WA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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