Organization
ADIRAM FAMILY DENTISTRY
Active
Other names
Riverside Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMAKRISHNA NALLAPANENI DDS (OWNER)
(586) 468-0983
Entity
Organization
Contact information
Practice address
253 S GRATIOT AVE, MOUNT CLEMENS, MI 48043-2425
(586) 468-0983
(586) 468-9661
Mailing address
253 S GRATIOT AVE, MOUNT CLEMENS, MI 48043-2425
(586) 468-0983
(586) 468-9661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
09/29/2016
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