Individual
BHARATHI GORANTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDS
Contact information
Practice address
3890 DIXIE HWY # 1A, SAGINAW, MI 48601-4205
(989) 777-4880
Mailing address
3890 DIXIE HWY #1A, SAGINAW, MI 48601
(989) 777-4880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022323
MI
Other
Enumeration date
02/07/2014
Last updated
07/21/2022
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