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1467548552
PRAVEEN KUMAR PAVULURU
BANGOR, ME
NPI
1467548552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ME DEN 3710)
Enumeration Date
2006-10-05
Last Update Date
2016-07-05
Business Address
Dr. PRAVEEN KUMAR PAVULURU D.M.D
90 RIDGEWOOD DR
BANGOR, ME 04401-2652
Phone number: 207-262-3744
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Mailing Address
Dr. PRAVEEN KUMAR PAVULURU D.M.D
90 RIDGEWOOD DR
BANGOR, ME 04401-2652
Phone number: 207-262-3744
Copy
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