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Contact Information

BALKRISHNA R GENTYALA, DMD
1064 MASSACHUSETTS AVE
ARLINGTON, MA02476
 Phone: 781-646-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BALKRISHNA R GENTYALA · (Male)

NPI # 1073954657
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/11/2013
Last updated 09/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # DN1856347
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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