Individual
DR. MURTHY N MANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
1135 S CESAR CHAVEZ DRIVE, MILWAUKEE, WI 53204
(414) 645-4540
Mailing address
11600 N LANTERN LN, MEQUON, WI 53092-1574
(262) 238-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2795-015
WI
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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