Doctor Name: | SUSMITHA ALURU |
NPI Number: | 1912095928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | 24400 |
Business Practice Address: | 409 W Front St Suite#250 Hutto, TX - 786344204 |
Business Phone Number: | 5126426109 |
Business Fax Number: | 5126426194 |
Mailing Address: | 409 W Front St, Suite#250 HUTTO |
State: | TX |
Postal Code: | 786344204 |
Phone Number: | 5126426109 |
Fax Number: | 5126426194 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 24400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |