Individual
DR. MANOJ MUTHUKURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS,PH.D
Contact information
Practice address
1959 NE PACIFIC ST, BOX 357131, SEATTLE, WA 98195-0001
(206) 685-8258
(206) 616-8545
Mailing address
1959 NE PACIFIC ST, BOX 357131, SEATTLE, WA 98195-0001
(206) 685-8258
(206) 616-8545
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DF60034513
WA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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