Individual
ANITHA PEDDIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDS
Contact information
Practice address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001-6460
(507) 594-6500
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12331
MN
Other
Enumeration date
05/29/2007
Last updated
02/03/2021
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