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1174805642
SRINIVASA RAO MIDTHANA
LAS CRUCES, NM
NPI
1174805642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD3595)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
Dr. SRINIVASA RAO MIDTHANA
1025 EL PASEO RD
LAS CRUCES, NM 88001
Phone number: 888-988-4066
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Mailing Address
Dr. SRINIVASA RAO MIDTHANA
44 JUDSON ST APT-4B
EDISON, NJ 08837-2436
Phone number:
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