DR. Supriya Goverdhanam, BDS, MS

NPI #1528288461 in Washougal, Washington

Provider Information

NPI Number: 1528288461
Entity Type: Individual
Name: DR. Supriya Goverdhanam, BDS, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: BDS, MS
Enumeration Date: Apr 25, 2007
Last Updated: Aug 28, 2008

Practice Location

Address: 291 C ST UNIT 112
City: Washougal
State: Washington
ZIP Code: 98671-2168
Phone: (734) 846-5153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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