Individual
SHIRISHA R MADULAPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16750 ROYALTON RD, STRONGSVILLE, OH 44136-4435
(440) 878-0777
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.023333
OH
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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