| NPI | 1528164563 |
|---|---|
| Professional Name | KODI KANNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: OR D9043) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D9043) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-10-06 |