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1740822964
BHUVAN SHOME VENIGALLA
ROXBURY, MA
NPI
1740822964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA DN1858517)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
Dr. BHUVAN SHOME VENIGALLA DMD
3033 WASHINGTON ST
ROXBURY, MA 02119-1227
Phone number: 617-541-2200
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Mailing Address
Dr. BHUVAN SHOME VENIGALLA DMD
63 PARKMAN ST APT 1B
BROOKLINE, MA 02446-7019
Phone number: 201-688-9248
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