Individual
VENKATA NAGA SRIDEVI SURAMPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
606 SUMNER AVE, SPRINGFIELD, MA 01108-2459
(417) 619-3131
Mailing address
4 MATTHEW DR, SUFFIELD, CT 06078-1385
(417) 763-0707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1860054
MA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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