Individual
VENKATA RATNA KUMAR RUDRAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15446 BEL RED RD STE 400, REDMOND, WA 98052-5505
(425) 647-4318
Mailing address
15446 BEL RED RD STE 400, REDMOND, WA 98052-5505
(425) 647-4318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61319204
WA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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