Individual
ANUSHA KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 707-0602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6727
OK
1223G0001X
General Practice Dentistry
Primary
6727
OK
Other
Enumeration date
06/26/2015
Last updated
02/01/2024
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