Individual
DR. NEELAMA P MUTHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(480) 964-2273
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D07341
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D07341
ARIZONA DENTAL LICENSE
AZ
Enumeration date
07/13/2006
Last updated
11/05/2025
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