Individual
DR. TULASI S GAJULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1521 W 13TH ST, CLOVIS, NM 88101-5568
(575) 769-0888
(575) 763-9154
Mailing address
1521 W 13TH ST, CLOVIS, NM 88101-5568
(575) 769-0888
(575) 763-9154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029163
IL
Other
Enumeration date
07/28/2012
Last updated
09/13/2016
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