Individual
AMITH KULA SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13899 HIGHWAY 13 SOUTH FRONTAGE RD, SAVAGE, MN 55378
(952) 440-2292
(952) 440-2935
Mailing address
13899 HIGHWAY 13 SOUTH FRONTAGE RD, SAVAGE, MN 55378
(952) 440-2292
(952) 440-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12375
MN
Other
Enumeration date
09/21/2007
Last updated
12/10/2021
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