Individual
BHAVANA AGADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
DENTAL SMILES CENTER, 1241 MAIN ST, UNIT #8, WORCESTER, MA 01603
(508) 797-5555
Mailing address
147 FISHER ST, SHREWSBURY, MA 01545
(617) 694-2371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205168
—
MA
Enumeration date
01/05/2007
Last updated
03/18/2016
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