Vijay Gaddam PC

NPI #1730432162 in Springfield, Massachusetts

Provider Information

NPI Number: 1730432162
Entity Type: Organization
Organization Name: Vijay Gaddam PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 23, 2012
Last Updated: Dec 10, 2012

Practice Location

Address: 43 SULLIVAN ST
City: Springfield
State: Massachusetts
ZIP Code: 01104-2415
Phone: (413) 785-5566

Authorized Official

Name: DR. VIJAY GADDAM, DMD
Title: PRESIDENT
Phone: (413) 785-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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