Individual
DR. VIJAYALAKSHMI CANAKALAVENKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
66 KENNEDY PLZ, PROVIDENCE, RI 02903-2004
(401) 454-3000
Mailing address
860 HARRISON AVE, APT 1012, BOSTON, MA 02118-4002
(617) 504-0406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02932
RI
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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