Sarat Nalluri, Dds, Inc. | |
7067 Tiffany Blvd Ste 260 Poland OH 44514-1958 | |
(330) 629-9021 | |
(330) 965-9237 |
Full Name | Sarat Nalluri, Dds, Inc. |
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Speciality | Dentist - General Practice |
Location | 7067 Tiffany Blvd Ste 260, Poland, Ohio |
Authorized Official Name and Position | Sarat Nalluri (DENTIST) |
Authorized Official Contact | 3306299021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sarat Nalluri, Dds, Inc. 7067 Tiffany Blvd Ste 260 P.o. Box 5410 Poland OH 44514-1958 Ph: (330) 629-9021 | Sarat Nalluri, Dds, Inc. 7067 Tiffany Blvd Ste 260 Poland OH 44514-1958 Ph: (330) 629-9021 |
NPI Number | 1508038712 |
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Provider Enumeration Date | 03/27/2008 |
Last Update Date | 03/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508038712 | NPI | - | NPPES |
2109668 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30020901 (Ohio) | Primary |
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