Individual
DR. BRIAN H ANANTATMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 EASTMONT AVE STE A, EAST WENATCHEE, WA 98802-7665
(509) 886-2345
(509) 886-2611
Mailing address
801 EASTMONT AVE STE A, EAST WENATCHEE, WA 98802-7665
(509) 886-2345
(509) 886-2611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D4064
ID
1223G0001X
General Practice Dentistry
Primary
DE 00010894
WA
Other
Enumeration date
07/02/2007
Last updated
12/22/2011
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