Individual
RAMYA TATAVARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 S CEDAR ST, LANSING, MI 48911-5714
(517) 393-3447
Mailing address
16942 WILLOWBROOK DR, HASLETT, MI 48840-8951
(517) 974-3211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601341
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2022
Last updated
03/01/2023
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