Individual
DR. SREENIVASULU PANGULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21 MONTAUK AVE, #102, NEW LONDON, CT 06320-4906
(860) 444-9345
(860) 443-0432
Mailing address
35 NORTHAMPTON ST, APT#2304, BOSTON, MA 02118-4014
(419) 819-7349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010544
CT
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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