Individual
MANALI SURTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9815 SUZANNE CT, WAXHAW, NC 28173-0055
(704) 845-1425
Mailing address
9815 SUZANNE CT, WAXHAW, NC 28173-0055
(705) 845-1425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10090
NC
Other
Enumeration date
06/08/2015
Last updated
01/15/2026
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