Madugula Pllc

NPI #1285978189 in Longview, Washington

Provider Information

NPI Number: 1285978189
Entity Type: Organization
Organization Name: Madugula Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 740 OCEAN BEACH HWY STE F
City: Longview
State: Washington
ZIP Code: 98632-4061
Phone: (360) 414-1400

Authorized Official

Name: DR. KALA MADUGULA, DMD
Title: OWNER
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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