Individual
PADMANJALI BATTHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21343 ARCHIBALD RD, DEERWOOD, MN 56444
(218) 534-3141
(218) 534-3949
Mailing address
PO BOX 385, DEERWOOD, MN 56444
(218) 534-3141
(218) 534-3949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11852
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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