Organization
MADUGULA LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALA SAGAR MADUGULA DMD (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
2235 NW TOWN CENTER DR, BEAVERTON, OR 97006
(503) 207-0510
(503) 466-3975
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9735
OR
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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