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Individual

DR. NARENDRA JAYANTH GUTLA PALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
17 LOWES DR, NORTHFIELD, NH 03276-5165
(603) 729-3397
Mailing address
38 WOODVIEW WAY, MANCHESTER, NH 03102-8423
(617) 817-4589

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04262
NH

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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