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Praveena Muddana
NPI 1376806893 · on the registry since 2012
Practice
- Address
- 8241 S Howell Ave
Suite 100
Oak Creek, WI 53154 - Phone
- (414) 762-5200
- Organisation at this address
- Pak Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin