Individual
DR. RAJ VENKAT DULALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, DMD
Contact information
Practice address
1571 NEWPORT AVE, SUITE2, PAWTUCKET, RI 02861-1351
(401) 722-3344
(401) 725-9755
Mailing address
36 VINCENT RD, MENDON, MA 01756-1371
(508) 634-6837
(401) 725-9755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19429
MA
1223G0001X
General Practice Dentistry
Primary
DEN-02635
RI
Other
Enumeration date
02/07/2007
Last updated
07/09/2007
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