Individual
DR. NAMRATHA MADAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21105 SR 410 E, STE G4, BONNEY LAKE, WA 98391-8457
(253) 299-6730
(253) 862-8921
Mailing address
21105 SR 410 E, STE G4, BONNEY LAKE, WA 98391-8457
(253) 299-6730
(253) 862-8921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
28620
TX
1223G0001X
General Practice Dentistry
Primary
DE60343087
WA
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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