Individual
DR. SUDHA N. DUSANAPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MMSC
Contact information
Practice address
562 HILDEBRAND CIR, FOLSOM, CA 95630-6301
(916) 367-9044
(916) 735-2407
Mailing address
562 HILDEBRAND CIR, FOLSOM, CA 95630-6301
(916) 367-9044
(916) 735-2407
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54057
CA
Other
Enumeration date
10/17/2006
Last updated
12/23/2013
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