Individual
NANDHINI BOGAVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
555 E CHOCOLATE AVE, 101, HERSHEY, PA 17033-1334
(717) 312-7030
Mailing address
771 GREGS DR, HARRISBURG, PA 17111-5555
(814) 439-1481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038343
PA
Other
Enumeration date
06/22/2010
Last updated
08/14/2014
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