Individual
DR. BAPANAIAH PENUGONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
19 W 44TH ST, SUITE #400, NEW YORK, NY 10036-5902
(212) 840-2079
(212) 840-0232
Mailing address
19 W 44TH ST, SUITE #400, NEW YORK, NY 10036-5902
(212) 840-2079
(212) 840-0232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041185
NY
Other
Enumeration date
09/21/2008
Last updated
09/21/2008
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