Individual
SATHISH L GOBICHETTYPALAYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 LYNNWAY, LYNN, MA 01901-1811
(781) 599-5437
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 562-4461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22099
MA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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