Individual
DEVIPRASAD M MAKONAHALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS MSC
Contact information
Practice address
73 RUSSELL RD, HUNTINGTON, MA 01050-9777
(413) 667-3009
(413) 667-8746
Mailing address
73 RUSSELL RD, HUNTINGTON, MA 01050-9777
(413) 667-3009
(413) 667-8746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9482
MA
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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