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Organization

MADUGULA PLLC

Active
Other names
Aspen Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KALA MADUGULA DMD (OWNER)
(315) 454-6000
Entity
Organization

Contact information

Practice address
740 OCEAN BEACH HWY STE F, LONGVIEW, WA 98632-4061
(360) 414-1400
(360) 414-5223
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(866) 803-4943

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
272750
WA

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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