Organization
PRAVEEN PAVULURU, DMD, LLC
Active
Other names
Carefirst Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN K PAVULURU DMD (SOLE OWNER/MEMBER)
(207) 577-3424
Entity
Organization
Contact information
Practice address
90 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 262-3744
(207) 262-3745
Mailing address
90 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 262-3744
(207) 262-3745
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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