Individual
SHRUTI MUKKAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6006 CRANBROOK CANYON CT, SUGAR LAND, TX 77479-1674
(832) 409-8585
Mailing address
6006 CRANBROOK CANYON CT, SUGAR LAND, TX 77479-1674
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
39359
TX
Other
Enumeration date
03/27/2019
Last updated
09/18/2023
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