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Organization

VIJAY GADDAM PC

Active
Other names
7 Hills Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIJAY GADDAM DMD (PRESIDENT)
(413) 785-5566
Entity
Organization

Contact information

Practice address
43 SULLIVAN ST, SPRINGFIELD, MA 01104-2415
(413) 785-5566
(413) 785-5568
Mailing address
43 SULLIVAN ST, SPRINGFIELD, MA 01104-2415
(413) 785-5566
(413) 785-5568

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010520
CT
1223G0001X
General Practice Dentistry
22226
MA

Other

Enumeration date
10/23/2012
Last updated
12/10/2012
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