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DR. RAGHAVENDRA SUMANTH PHANI CHALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
(413) 420-2200
(413) 539-9472
Mailing address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
(413) 420-2200
(413) 539-9472

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN.00203866
CO
1223G0001X
General Practice Dentistry
Primary
DN1858555
MA

Other

Enumeration date
01/23/2019
Last updated
03/25/2024
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