| Dr. Suresh K Naidu Dds | |
|
156 Dudley St Roxbury MA 02119-3232 | |
| (617) 445-7050 | |
| Not Available |
| Full Name | Dr. Suresh K Naidu Dds |
|---|---|
| Speciality | Dentist |
| Location | 156 Dudley St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Suresh K Naidu (OWNER) |
| Authorized Official Contact | 6174457050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Suresh K Naidu Dds 156 Dudley St Roxbury MA 02119-3232 Ph: () - | Dr. Suresh K Naidu Dds 156 Dudley St Roxbury MA 02119-3232 Ph: (617) 445-7050 |
| NPI Number | 1417117987 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417117987 | NPI | - | NPPES |
| 0253049 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13632 (Massachusetts) | Primary |
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