Individual
DR. KALYANA TEJASVI MONDRETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14344 BURNHAVEN DR, BURNSVILLE, MN 55306-4928
(952) 960-8646
Mailing address
14344 BURNHAVEN DR, BURNSVILLE, MN 55306-4928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15061
MN
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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