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Organization
GLOBAL DENTAL P.C
Active
Organization
GLOBAL DENTAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENU KALLAM DMD (DENTIST)
(215) 301-8655
Entity
Organization
Contact information
Practice address
439 BROADWAY, EVERETT, MA 02149-3612
(215) 301-8655
Mailing address
58 TEA PARTY WAY, MALDEN, MA 02148-1980
(215) 301-8655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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