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1053558254
ANAITA NALLADARU MULLASSERIL
SHAWNEE, OK
NPI
1053558254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OK 172)
Enumeration Date
2009-01-10
Last Update Date
2012-07-04
Business Address
Dr. ANAITA NALLADARU MULLASSERIL B.D.S., M.S.
504 SHAWNEE MALL DR
SHAWNEE, OK 74804-1317
Phone number: 405-878-8899
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Mailing Address
Dr. ANAITA NALLADARU MULLASSERIL B.D.S., M.S.
504 SHAWNEE MALL DR
SHAWNEE, OK 74804-1317
Phone number: 405-878-8899
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