Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANJU KANAGARLA, DDS
Active Sole ProprietorDR. MANJU KANAGARLA, DDS is a General Dentistry healthcare provider located in MIDWEST CITY, OK 73110, Oklahoma. NPI 1104318237 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MIDWEST CITY, OK 73110, OK
Registration Details
- NPI Number
- 1104318237
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2018 (8.2096851212343 yrs)
- Last Updated
- Jun 12, 2018
- Licenses
-
7055 (OK)7055 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 S AIR DEPOT BLVDMIDWEST CITY, OK 73110, OK, 73110Browse OK providers · Browse ZIP 73110
- Phone
- 4054948092
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.