Individual
ANANTHA L RAGHUMUDRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2353 SE 14TH ST, DES MOINES, IA 50320-1109
(515) 248-1470
(515) 248-1474
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-10082
IA
1223G0001X
General Practice Dentistry
Primary
DDS-10082
IA
Other
Enumeration date
02/24/2023
Last updated
08/28/2025
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