NPI 1659486249

Padmini R Muddasani, DDSMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry O'Fallon, MO

Practice location

Address: 2410 Hwy K, O'Fallon, MO 63368
Phone: (636) 978-8381
Fax: (636) 272-2377

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence DE015883 (MO)

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Registry record

NPI: 1659486249
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2006
Record last updated: 10 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.