Individual
DR. SUNEEL C. KANDRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-0950
Mailing address
326 NICHOLS ROAD, FITCHBURG, MA 01420
(978) 878-8100
(978) 878-8326
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DL15572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9760
DENTAL LICENSE
—
Enumeration date
11/08/2007
Last updated
09/06/2023
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