Individual provider · Type 1 NPI

Supraja Mundla, DMD

General Practice Dentistry · Canton, MI

NPI number 1770637688 Active

About NPI 1770637688

Supraja Mundla, DMD's National Provider Identifier is 1770637688, issued on Jan 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Canton, MI. The record was last updated on Jan 21, 2022.