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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUPRAJA MUNDLA, DMD

Active

DR. SUPRAJA MUNDLA, DMD is a General Dentistry healthcare provider located in CANTON, Michigan. NPI 1770637688 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CANTON, MI

Registration Details

NPI Number
1770637688
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2007 (19.56988008352 yrs)
Last Updated
Jan 21, 2022
License
2901018754 (MI)

Practice Information

Address
5970 N LILLEY RD
CANTON, MI, 481873625
Browse MI providers · Browse ZIP 48187
Phone
7349815455
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in CANTON, MI

Name Credential NPI
DR. JAMES E. GLINSKI D.D.S. 1912903543
DR. JOHN R ROBISON DDS 1114906062
DR. JOANN MICHELLE LOVEQUIST D.D.S. 1891774907
DR. JOSEPH LAWRENCE GIMMARRO JR. D.M.D 1952381261
DR. MICHAEL CLARKE SMITH D.D.S 1649250978
DR. ARAM A. BAGDASARIAN D.D.S. 1346298163
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.