Individual
VAMSI MOHAN NARISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 UNION AVE STE C, MOBERLY, MO 65270-9471
(844) 853-8937
Mailing address
2300 BENNETT SPRINGS DR APT 202, COLUMBIA, MO 65201-7256
(601) 307-5033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022040166
MO
Other
Enumeration date
12/23/2021
Last updated
03/15/2023
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