Individual
SANJAY KUMAR VANJARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
195 JEFFERSON BLVD, BIG LAKE, MN 55309-9572
(763) 263-2222
Mailing address
13899 HIGHWAY 13 S, SAVAGE, MN 55378-2135
(952) 440-2292
(952) 440-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12210
MN
Other
Enumeration date
11/14/2006
Last updated
06/05/2012
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