Individual
DR. JAYANTH NALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2829 E GRAND RIVER AVE, LANSING, MI 48912-4331
(517) 333-3160
Mailing address
24302 AMANDA LN, NOVI, MI 48375-5707
(734) 747-2920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602670
MI
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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