Praneetha Mummaneni

NPI #1558763607 in Irving, Texas

Provider Information

NPI Number: 1558763607
Entity Type: Individual
Name: Praneetha Mummaneni
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 1138 HIDDEN RDG APT 1216
City: Irving
State: Texas
ZIP Code: 75038-8341
Phone: (309) 643-5749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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