Individual
DR. SRIRAMACHANDRAMURTHY BANDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11437 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 355-2000
Mailing address
11511 CRAIG CT APT 315, SAINT LOUIS, MO 63146-6206
(314) 546-5687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024024173
MO
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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