Individual
MADHAVI YERNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
41637 FORD RD, CANTON, MI 48187-3679
(734) 981-7224
Mailing address
34835 PICKFORD DR, FARMINGTON HILLS, MI 48335-2073
(248) 477-6504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018225
MI
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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