Individual
PARVATHI NADIMPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22223
MA
122300000X
Dentist
Primary
DN22223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
GROUP NUMBER
MA
05
—
1310097
—
MA
Enumeration date
07/11/2008
Last updated
03/12/2016
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