Individual
RATNA KAMALAKAR BOLLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 S BROADWAY, SALISBURY, MO 65281-1037
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023010796
MO
Other
Enumeration date
01/13/2022
Last updated
11/05/2025
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