Madhuri Vanama, DDS

NPI #1174746622 in Issaquah, Washington

Provider Information

NPI Number: 1174746622
Entity Type: Individual
Name: Madhuri Vanama, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 23349 SE 52ND ST
City: Issaquah
State: Washington
ZIP Code: 98029-6811
Phone: (425) 427-8215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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