Individual
SHRAVYA SHRAVYA GUDIMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-0903
Mailing address
959 NE PACIFIC STREET, SEATTLE, WA 98195-6365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045251
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2023
Last updated
07/09/2025
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