Banuru Shetty Dental Group, P.l.l.c
NPI #1295566628 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1295566628
- Entity Type
- Organization
- Organization Name
- Banuru Shetty Dental Group, P.l.l.c
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 8, 2024
- Last Updated
- Aug 8, 2024
Practice Location
- Address
- 7727 FLYING CLOUD DR
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-3708
- Phone
- (201) 336-0434
Authorized Official
- Name
- VASUDHA BANURU, DDS
- Title
- DENTIST
- Phone
- (201) 336-0434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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