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Individual

SURABHI SWARUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6046 W HIGHWAY 74, INDIAN TRAIL, NC 28079-3591
(704) 870-4336
Mailing address
13618 NUBIAN CT, HERNDON, VA 20171-4101

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11736
NC
390200000X
Student in an Organized Health Care Education/Training Program
63832402

Other

Enumeration date
04/08/2019
Last updated
06/30/2020
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