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1861187346
SAMIRA MUKKAMALA
SANTA CRUZ, CA
NPI
1861187346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
SAMIRA MUKKAMALA DMD
1830 COMMERCIAL WAY
SANTA CRUZ, CA 95065-1819
Phone number: 831-464-5409
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Mailing Address
SAMIRA MUKKAMALA DMD
665 WASHINGTON ST UNIT 1808
BOSTON, MA 02111-1650
Phone number: 334-294-2241
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