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Contact Information

SWETHA MADALA, DDS
954 52ND ST SE
KENTWOOD, MI49508
 Phone: 616-724-1780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SWETHA MADALA · (Female)

NPI Number 1154584076
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/10/2008
Last updated 08/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019027628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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