Anupama Vurugonda

NPI #1104078906 in Jenison, Michigan

Provider Information

NPI Number: 1104078906
Entity Type: Individual
Name: Anupama Vurugonda
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Oct 13, 2008
Last Updated: Oct 13, 2008

Practice Location

Address: 2064 BALDWIN ST
City: Jenison
State: Michigan
ZIP Code: 49428-8773
Phone: (616) 475-2299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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