Individual
PRABHAVATHI JAMPANI PRATTIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
311 8TH AVE SW, CHILDERSBURG, AL 35044-1625
(256) 378-5442
Mailing address
311 8TH AVE SW, CHILDERSBURG, AL 35044-1625
(256) 378-5442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5895
AL
Other
Enumeration date
02/08/2012
Last updated
04/08/2022
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