DR. Amrutha Chandra Mandava, D.M.D.

NPI #1053370882 in Albany, New York

Provider Information

NPI Number: 1053370882
Entity Type: Individual
Name: DR. Amrutha Chandra Mandava, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Mar 21, 2006
Last Updated: Aug 24, 2009

Practice Location

Address: 1662 CENTRAL AVE
City: Albany
State: New York
ZIP Code: 12205
Phone: (518) 452-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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