| Kala Sagar Madugula Dmd Inc | |
|
5700 Youngstown Warren Rd Unit 107 Niles OH 44446-4762 | |
| (330) 652-3900 | |
| Not Available |
| Full Name | Kala Sagar Madugula Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5700 Youngstown Warren Rd, Niles, Ohio |
| Authorized Official Name and Position | Kala S Madugula (OWNER) |
| Authorized Official Contact | 3306523900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kala Sagar Madugula Dmd Inc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Kala Sagar Madugula Dmd Inc 5700 Youngstown Warren Rd Unit 107 Niles OH 44446-4762 Ph: (330) 652-3900 |
| NPI Number | 1649589151 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649589151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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