Individual
NIKITHA YERRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3996 RED CEDAR DR UNIT A3, HIGHLANDS RANCH, CO 80126-8066
(303) 470-9696
Mailing address
14 DIAMOND HILL RD, MARLBORO, NJ 07746-2164
(732) 882-3599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204292
CO
Other
Enumeration date
04/05/2019
Last updated
07/23/2020
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