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1962133454
PRAVEEN PAVULURU, DMD, LLC
BANGOR, ME
NPI
1962133454
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Entity Type
Organization
Authorized Contact
PRAVEEN K PAVULURU
Sole Owner/Member
207-577-3424
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
PRAVEEN PAVULURU, DMD, LLC
90 RIDGEWOOD DR
BANGOR, ME 04401-2652
Phone number: 207-262-3744
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Mailing Address
PRAVEEN PAVULURU, DMD, LLC
90 RIDGEWOOD DR
BANGOR, ME 04401-2652
Phone number: 207-262-3744
Copy
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