Individual
DR. SHILAJA NANDIGAMA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 680-3781
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 680-3781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4983
OK
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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