Individual
VANI MALLIPEDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
28 W COLE RD STE 104, BIDDEFORD, ME 04005-9428
(207) 282-3928
(207) 284-1231
Mailing address
28 W COLE RD STE 104, BIDDEFORD, ME 04005-9428
(207) 282-3928
(207) 284-1231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3817
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432245199
—
ME
Enumeration date
12/05/2006
Last updated
07/21/2022
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