Pramod Tadakamalla, DDS
NPI #1629591854 in Springfield, Illinois
Provider Information
- NPI Number
- 1629591854
- Entity Type
- Individual
- Name
- Pramod Tadakamalla, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jul 19, 2017
- Last Updated
- Jul 19, 2017
Practice Location
- Address
- 907 S 6TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-2401
- Phone
- (716) 548-3741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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