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Individual

DR. ANUSHA REDDY ETIKALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BDS, MS

Contact information

Practice address
2611 NE 125TH ST, SEATTLE, WA 98125-4373
(206) 365-5880
(206) 365-6412
Mailing address
2611 NE 125TH ST, SEATTLE, WA 98125-4373
(206) 365-5880
(206) 365-6412

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60887185
WA

Other

Enumeration date
07/30/2019
Last updated
03/09/2026
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