Individual
DR. THANMAYI PANGULURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
472 BROADWAY, BAYONNE, NJ 07002-7114
(201) 380-8900
Mailing address
472 BROADWAY, BAYONNE, NJ 07002-7114
(571) 635-7269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401418577
VA
122300000X
Dentist
Primary
22DI03075400
NJ
Other
Enumeration date
07/18/2023
Last updated
03/31/2025
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