Individual
MARRINA RAN-SUKKAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3515 LONGMIRE DR, COLLEGE STATION, TX 77845-5489
(916) 429-5355
Mailing address
3515B LONGMIRE DR, PMB 284, COLLEGE STATION, TX 77845
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39970
TX
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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