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Contact Information

SONU MUTHUVALLIAPPAN 3 DMD LLC
4305 BUTLER HILL RD
SAINT LOUIS, MO63128-3702
 Phone: 314-892-8060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for SONU MUTHUVALLIAPPAN 3 DMD LLC

NPI Number 1922686161
LBN Legal business name SONU MUTHUVALLIAPPAN 3 DMD LLC
Authorized official BENJAMIN TUINEI - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2021
Last updated 07/23/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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