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Individual
NAGAMANI AMBATIPUDI
Active
Individual
NAGAMANI AMBATIPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010499
CT
1223G0001X
General Practice Dentistry
Primary
10499
CT
Other
Enumeration date
10/25/2012
Last updated
02/07/2013
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