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
Remove 1780695130 NPI Number
 

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.

Sponsored links

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.