Padmini R Muddasani, DDS, MS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · O'Fallon, MO

NPI

1659486249

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

DE015883 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2006-08-21

Last updated

2009-11-10