Sujatha L Revur GENERAL DENTISTRY

NPI 1780695130 - Dentist - 122300000X

NPI Details
NPI 1780695130
Gender Female
Enumeration Date 08/11/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
26 QUEEN ST
DENTAL
WORCESTER MA, 01610-2473, US
Phone (508) 860-7700
Fax (508) 860-7990
Business Location
26 QUEEN ST
DENTAL
WORCESTER MA, 01610-2473, US
Phone (508) 860-7700
Fax (508) 860-7990
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number 19824
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According to our database, Sujatha L Revur GENERAL DENTISTRY NPI is 1780695130, taxonomy code is 122300000X and license number is 19824, license state is located at Massachusetts. Sujatha L Revur GENERAL DENTISTRY physically located at 26 Queen St, Worcester MA, 01610-2473. NPI Number Sujatha L Revur GENERAL DENTISTRY has the Individual type.

1780695130 NPI number is provided on an as is basis without warranty of any kind. 1780695130 is maintained by the National Plan & Provider Enumeration System. The contents of Sujatha L Revur GENERAL DENTISTRY are for informational purposes only.