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Individual

THIRUPATHI REDDY BANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7866 MINERAL POINT RD, MADISON, WI 53717-2028
(608) 422-4746
Mailing address
7866 MINERAL POINT RD, MADISON, WI 53717-2028
(608) 422-4746
(608) 467-1229

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002645
WI

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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