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1376806893
PRAVEENA MUDDANA
OAK CREEK, WI
NPI
1376806893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 6931-15)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- PRAVEENA MUDDANA
8241 S HOWELL AVE SUITE 100
OAK CREEK, WI 53154-8346
Phone number: 414-762-5200
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Mailing Address
-- PRAVEENA MUDDANA
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number: 315-464-6000
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