License Type:
Dentist
License Number:
2901021894
Name:
Vishnu Vardhan-Reddy Burla
License Issue Date:
05/24/2016
License Expiration Date:
05/24/2024
License Status:
Active
County:
Oakland
City:
Farmington Hills
State or Province:
Michigan
ZIP or Postal Code:
48335
CS Record Number:
5315076310
CS Status:
CS Expiration Date: