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Individual
VENKATA VELAGAPUDI
Active
Individual
VENKATA VELAGAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011512
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH ( DENTAL LICENCE)
CT
Enumeration date
09/28/2015
Last updated
04/28/2016
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