Vonguru, Tarakeswar Reddy

Vonguru, Tarakeswar Reddy is an individual health care provider with primary practice located at 315 Centre St , Jamaica Plain MA 02130-1414. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vonguru, Tarakeswar Reddy can be contacted via phone (617) 524-5400.

Contact Information

Primary practice address
315 Centre St Jamaica Plain MA 02130-1414
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1855800 Massachusetts

Profile Details

NPI number 1457649683
LBN Legal business name Vonguru, Tarakeswar Reddy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated May 12th, 2014 - about 11 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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