Madugula Llc

NPI 1760727234 - Dentist - 122300000X

NPI Details
NPI 1760727234
Enumeration Date 12/10/2012
Last Updated 12/10/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KALA SAGAR KALA
Position OWNER
Phone (503) 207-0510
Fax (503) 466-3975
Practice Location
2235 NW TOWN CENTER DR
BEAVERTON OR, 97006, US
Phone (503) 207-0510
Fax (503) 466-3975
Business Location
PO BOX 3189
SYRACUSE NY, 13220-3189, US
Phone (315) 454-6000
Fax (866) 803-4943
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number 9735
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According to our database, Madugula Llc NPI is 1760727234, taxonomy code is 122300000X and license number is 9735, license state is located at Oregon. Madugula Llc physically located at 2235 Nw Town Center Dr, Beaverton OR, 97006. NPI Number 1033115704 has the healthcare provider type.

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1760727234 NPI number is provided on an as is basis without warranty of any kind. 1760727234 is maintained by the National Plan & Provider Enumeration System. The contents of Madugula Llc are for informational purposes only.