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Individual

DR. BHUVAN SHOME VENIGALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3033 WASHINGTON ST, ROXBURY, MA 02119-1227
(617) 541-2200
Mailing address
63 PARKMAN ST APT 1B, BROOKLINE, MA 02446-7019
(201) 688-9248

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858517
MA

Other

Enumeration date
10/09/2019
Last updated
10/09/2019
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