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Organization

SARAT NALLURI, DDS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SARAT NALLURI D.D.S. (DENTIST)
(330) 629-9021
Entity
Organization

Contact information

Practice address
7067 TIFFANY BLVD STE 260, POLAND, OH 44514-1958
(330) 629-9021
(330) 965-9237
Mailing address
7067 TIFFANY BLVD STE 260, P.O. BOX 5410, POLAND, OH 44514-1958
(330) 629-9021
(330) 965-9237

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30020901
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2109668
OH
Enumeration date
03/27/2008
Last updated
03/27/2008
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