Organization
UNITY DENTAL SPRINGFIELD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARAKESWAR REDDY VONGURU DDS (PRESIDENT)
(617) 816-1759
Entity
Organization
Contact information
Practice address
1178 PARKER ST, SPRINGFIELD, MA 01129-1030
(617) 816-1759
Mailing address
161 PENWOOD XING, GLASTONBURY, CT 06033-2756
(617) 816-1759
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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