Organization
ACQUA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANARAO KROTHAPALLI D.M.D (DENTIST)
(617) 223-1652
Entity
Organization
Contact information
Practice address
1756 MAIN ST, TEWKSBURY, MA 01876-2003
(978) 851-7012
Mailing address
1756 MAIN ST, TEWKSBURY, MA 01876-2003
(978) 851-7012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20845
MA
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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