Individual
SAUMYA VULLAGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 S SHERIDAN RD, TULSA, OK 74129-1001
(918) 948-6965
Mailing address
8300 E 123RD ST S # C-311, BIXBY, OK 74008-3347
(609) 227-8984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7330
OK
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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