Poornima Ranganathan Valid NPI

Individual provider · General Practice Dentistry · O Fallon, MO

NPI

1598510695

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2026024967 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2024-04-22

Last updated

2026-06-05