Individual
DR. PRASHANTHI BADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
6601 S. RURAL RD., SUITE 1, TEMPE, AZ 85283-3747
(480) 730-1857
Mailing address
753 W HONEYSUCKLE DR, CHANDLER, AZ 85248-3841
(480) 219-0025
(480) 219-0025
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5545
AZ
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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