Sonu Muthuvalliappan, DMD Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1730345455
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2008015950 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-08-01
- Last updated
- 2008-08-01
Practice location
1338 Sunburst Dr
O Fallon, MO 63366-3491
(636) 272-3503