MYTREI CHATURVEDULA

BRAINTREE, MA
NPI1174592786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  20388)
Enumeration Date2006-03-16
Last Update Date2009-04-07
Business Address
-- MYTREI CHATURVEDULA DMD
111 GROSSMAN DR
BRAINTREE, MA 02184-4997
Phone number: 781-849-2255
Mailing Address
-- MYTREI CHATURVEDULA DMD
147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8051