Individual
SATYA RAJESWARI MOLLETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0340
(612) 625-8400
Mailing address
13212 GRAND OAK CT, APPLE VALLEY, MN 55124-8756
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D11736
MN
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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