Individual
MAMATHA CHENEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
26401 PACIFIC HWY S STE 101, DES MOINES, WA 98198-9247
(425) 277-1311
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009662
WA
Other
Enumeration date
05/20/2008
Last updated
12/27/2024
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