Individual provider · NPI-1

Bhavana Agadi, DMD

Dentist, General Practice · Worcester, MA

NPI number1316095631
StatusActive
Last updated in NPPESMar 18, 2016

Details

NPI
1316095631
Entity type
Individual (NPI-1)
Name
Bhavana Agadi
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2007
Last updated
Mar 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice21468MAYes

Practice location

Dental Smiles Center, 1241 Main St
Unit #8
Worcester, MA 01603

Phone 508-797-5555

Mailing address

147 Fisher St
Shrewsbury, MA 01545

Phone 617-694-2371

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