Panguluri, Sreenivasulu

Panguluri, Sreenivasulu is an individual health care provider with primary practice located at 21 Montauk Ave #102, New London CT 06320-4906. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Panguluri, Sreenivasulu can be contacted via phone (860) 444-9345.

Contact Information

Primary practice address
21 Montauk Ave #102 New London CT 06320-4906
Phone: (860) 444-9345
Fax: (860) 443-0432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 010544 Connecticut

Profile Details

NPI number 1770870347
LBN Legal business name Panguluri, Sreenivasulu
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Jul 5th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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