Individual
DR. INDU BALA YADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1795 MAIN ST STE 215, SPRINGFIELD, MA 01103-1015
(720) 238-6407
Mailing address
6A MANSION WOODS DR, AGAWAM, MA 01001-2364
(720) 238-6407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857769
MA
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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