Individual
SRITEJA GUMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1201 N STONEWALL AVE FL 4, OKLAHOMA CITY, OK 73117-1214
(405) 271-5714
Mailing address
8705 KEN AARON CT, AUSTIN, TX 78717-5489
(512) 818-1020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7936
OK
Other
Enumeration date
07/01/2024
Last updated
07/10/2024
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