Individual
DR. MOHINI RATAKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 MAIN ST, BUFFALO, NY 14214-3001
(716) 829-3847
Mailing address
240 SQUIRE HALL, BUFFALO, NY 14214-8006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
000150-01
NY
122300000X
Dentist
0401418651
VA
Other
Enumeration date
09/21/2023
Last updated
05/13/2024
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