Individual
DR. DIVYA REDDY ANUGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
35 PLEASANT ST STE 2D, MERIDEN, CT 06450-7596
(203) 404-6800
Mailing address
1 STONE LN APT 2301, MALDEN, MA 02148-1566
(973) 704-9476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12973
CT
1223G0001X
General Practice Dentistry
DN1857788
MA
Other
Enumeration date
10/12/2017
Last updated
02/01/2023
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