Individual
TAPAN VIPLAV PUJARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
555 STATE ST, SPRINGFIELD, MA 01109-4140
(002) 741-3736
Mailing address
350 N CLARK ST, 6TH FLOOR, CHICAGO, IL 60654-4712
(201) 888-6135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856925
MA
Other
Enumeration date
03/30/2015
Last updated
06/03/2019
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