Organization
COMFORT DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUNA L JONNALAGADDA DMD (DENTIST/OWNER)
(978) 996-1338
Entity
Organization
Contact information
Practice address
270 LITTLETON RD STE 12, WESTFORD, MA 01886-3523
(978) 692-3051
Mailing address
853 MAIN ST STE 201, TEWKSBURY, MA 01876-1854
(978) 851-2492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220221
—
MA
01
—
V06608
BLUE CROSS /BLUE SHIELD
MA
Enumeration date
02/27/2018
Last updated
03/17/2018
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