Mousami Surapaneni

NPI #1053963967 in Temple, Texas

Provider Information

NPI Number: 1053963967
Entity Type: Individual
Name: Mousami Surapaneni
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 11, 2019
Last Updated: Jul 11, 2019

Practice Location

Address: 3108 S 31ST ST STE 2108
City: Temple
State: Texas
ZIP Code: 76502-1803
Phone: (408) 813-3941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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