Prabha R Raju, D.D.S.

NPI #1710150925 in Burton, Michigan

Provider Information

NPI Number: 1710150925
Entity Type: Individual
Name: Prabha R Raju, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 9, 2008
Last Updated: Apr 9, 2008

Practice Location

Address: 1024 N GENESEE RD
City: Burton
State: Michigan
ZIP Code: 48509-1433
Phone: (810) 715-3368

Specialties & Taxonomy Codes

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

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