SHANTI SMITHA TELIKICHERLA KANDALA

WORCESTER, MA
NPI1659756252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  DL13493)
Additional Taxonomies122300000X Dentist
(Licence: MA  DL12643)
Enumeration Date2015-07-23
Last Update Date2018-03-17
Business Address
Dr. SHANTI SMITHA TELIKICHERLA KANDALA
19 TACOMA ST
WORCESTER, MA 01605-3516
Phone number: 508-854-2122
Mailing Address
Dr. SHANTI SMITHA TELIKICHERLA KANDALA
650 LINCOLN ST
WORCESTER, MA 01605-2060
Phone number: 508-852-1805
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