Rajsekhar Mukkamala, DDS

NPI #1336309152 in Ellenton, Florida

Provider Information

NPI Number: 1336309152
Entity Type: Individual
Name: Rajsekhar Mukkamala, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 16, 2008
Last Updated: Jun 13, 2014

Practice Location

Address: 3030 US HIGHWAY 301 N
City: Ellenton
State: Florida
ZIP Code: 34222-2010
Phone: (941) 722-0502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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