Individual
DR. KALPAKAM A SHASTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN1000938
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20253
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN1000938
DC
Other
Enumeration date
12/04/2006
Last updated
04/13/2015
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