Individual
DR. NEENA MUKKAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
95 WOLF CREEK BLVD, SUITE # 3, DOVER, DE 19901-4962
(302) 734-5303
Mailing address
606 NESTING LN, MIDDLETOWN, DE 19709-6124
(732) 207-2662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001189
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000033065
—
DE
Enumeration date
09/21/2006
Last updated
07/09/2007
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