Organization
DENTAL QUEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMATHA POLAVARAPU DMD (DOCTOR)
(978) 458-3456
Entity
Organization
Contact information
Practice address
1275 PAWTUCKET BLVD, SUIT#1, LOWELL, MA 01854-1070
(978) 458-3456
(978) 923-7906
Mailing address
1275 PAWTUCKET BLVD, SUIT#1, LOWELL, MA 01854-1070
(978) 458-3456
(978) 923-7906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20435
MA
Other
Enumeration date
02/10/2009
Last updated
03/11/2009
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