Individual
PADMINI R MUDDASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2410 HWY K, O'FALLON, MO 63368
(636) 978-8381
(636) 272-2377
Mailing address
2410 HWY K, O'FALLON, MO 63368
(636) 978-8381
(636) 272-2377
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE015883
MO
Other
Enumeration date
08/21/2006
Last updated
11/10/2009
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