Individual
DR. SANJAY TALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
486A MAIN ST, MELROSE, MA 02176-3841
(781) 665-9455
(781) 712-0089
Mailing address
203 TREMONT ST # 3, SOMERVILLE, MA 02143-4124
(336) 710-5672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857898
MA
Other
Enumeration date
06/28/2017
Last updated
10/02/2023
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