Praveen Pavuluru, Dmd, LLC

NPI #1962133454 in Bangor, Maine

Provider Information

NPI Number
1962133454
Entity Type
Organization
Organization Name
Praveen Pavuluru, Dmd, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 23, 2022
Last Updated
Jun 23, 2022

Practice Location

Address
90 RIDGEWOOD DR
City
Bangor
State
Maine
ZIP Code
04401-2652
Phone
(207) 262-3744

Authorized Official

Name
DR. PRAVEEN K PAVULURU, DMD
Title
SOLE OWNER/MEMBER
Phone
(207) 577-3424

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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