Individual
AKSHAYA VENUGOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2936 WASHTENAW RD APT 2B, YPSILANTI, MI 48197-1527
(248) 678-9423
Mailing address
2936 WASHTENAW RD APT 2B, YPSILANTI, MI 48197-1527
(248) 678-9423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602503
MI
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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