Individual
PRAVEENA O VELUPULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2728 WESTMOOR CT SW STE A, OLYMPIA, WA 98502-5779
(360) 491-8444
(360) 491-3883
Mailing address
2728 WESTMOOR CT SW STE A, OLYMPIA, WA 98502-5779
(360) 491-8444
(360) 491-3883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11036
WA
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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