Individual
SURYA APARNA BHAVARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 HULL STREET RD STE A, RICHMOND, VA 23224-1714
(804) 233-0007
Mailing address
3500 CHESTNUT SPRINGS PL APT 1317, HENRICO, VA 23233-0221
(315) 283-6356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417668
VA
Other
Enumeration date
08/16/2021
Last updated
09/01/2021
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