Individual
SHUKAN C KANUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57764
CA
1223P0221X
Pediatric Dentistry
DR20000194
WA
Other
Enumeration date
07/27/2007
Last updated
09/14/2015
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