| NPI | 1285146589 |
|---|---|
| Former Name | SIRISHA MUNIMADUGU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA DE60951176) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 32775) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2022-04-29 |