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Organization

MADHUKAR R MEDIPALLY, DMD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MADHUKAR REDDY MEDIPALLY DMD (PRESIDENT)
(413) 583-2070
Entity
Organization

Contact information

Practice address
534 CENTER ST, LUDLOW, MA 01056-2731
(413) 583-2070
(413) 583-6027
Mailing address
PO BOX 642, LUDLOW, MA 01056-0642
(413) 583-2070
(413) 583-6027

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/12/2019
Last updated
12/12/2019
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