Individual
DR. MADHU KATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, DMD
Contact information
Practice address
120 TEMPLE STREET, AVALON DENTAL CENTER, SOMERVILLE, MA 02145-1910
(617) 776-9000
(617) 776-9001
Mailing address
311 BROUGHTON DRIVE, BEVERLY, MA 01915-1822
(848) 219-4517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855421
MA
1223G0001X
General Practice Dentistry
DN1855421
MA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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