Individual
RAMYA SUBGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
707 1/2 N PENNSYLVANIA AVE, ROSWELL, NM 88201-4853
(716) 367-9575
Mailing address
707 1/2 N PENNSYLVANIA AVE, ROSWELL, NM 88201-4853
(716) 367-9575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4405
NM
Other
Enumeration date
09/08/2015
Last updated
01/19/2016
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