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1457649683
TARAKESWAR REDDY VONGURU
JAMAICA PLAIN, MA
NPI
1457649683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA DN1855800)
Enumeration Date
2011-07-21
Last Update Date
2014-05-12
Business Address
-- TARAKESWAR REDDY VONGURU
315 CENTRE ST
JAMAICA PLAIN, MA 02130-1414
Phone number: 617-524-5400
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Mailing Address
-- TARAKESWAR REDDY VONGURU
11 OVERLOOK RIDGE DR APT 333
REVERE, MA 02151-1144
Phone number: 617-816-1759
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