Individual
ANEESHA MANTRIPRAGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1775 GRAND CONCOURSE # 6, BRONX, NY 10453-8202
(718) 901-8400
Mailing address
1775 GRAND CONCOURSE # 6, BRONX, NY 10453-8202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0
MI
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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