Individual
SIRISHA MUPPIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
(DMD)
Contact information
Practice address
8 VINTON ST, MANCHESTER, NH 03103-3928
(603) 627-8800
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03744
NH
Other
Enumeration date
09/10/2009
Last updated
12/29/2010
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