Individual
SAI L KADIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
367 COOLEY STREET, SPRINGFIELD, MA 01128
(413) 796-1616
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022297
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2628071
—
OH
Enumeration date
03/23/2006
Last updated
05/24/2010
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