Organization
DR. SURESH K NAIDU DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH K NAIDU (OWNER)
(617) 445-7050
Entity
Organization
Contact information
Practice address
156 DUDLEY ST, ROXBURY, MA 02119-3232
(617) 445-7050
Mailing address
156 DUDLEY ST, ROXBURY, MA 02119-3232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13632
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253049
—
MA
Enumeration date
06/09/2008
Last updated
06/09/2008
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