| NPI | 1013760958 |
|---|---|
| Doing Business As | MADHAVI VANGALA DMD INC |
| Entity Type | Organization |
| Authorized Contact | MADHAVI VANGALA President 617-653-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-05-04 |