Individual
RADHIKA CHIGURUPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 E NEWTON ST, STE G407, BOSTON, MA 02118-2308
(617) 638-4350
(617) 638-4365
Mailing address
100 E NEWTON ST, STE G407, BOSTON, MA 02118-2308
(617) 638-4350
(617) 638-4365
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
53432
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856186
MA
Other
Enumeration date
05/20/2006
Last updated
05/01/2013
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