Individual
SHUBADHA VIRENJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
927 RALEY ST, GADSDEN, AL 35903-2027
(256) 492-0131
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5393
AL
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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