Individual
PADMAJA KROTHAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE ST, PORTLAND, ME 04103-2617
(207) 221-4700
Mailing address
25 NASHUA RD, UNIT D1, LONDONDERRY, NH 03053-3446
(617) 432-6430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04176
NH
1223P0300X
Periodontics
Primary
DEN5297
ME
1223P0300X
Periodontics
DL10511
MA
Other
Enumeration date
12/09/2008
Last updated
11/19/2025
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