Individual
PRIYADARSHINI RAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 ADRIAN ST, APT 1, SOMERVILLE, MA 02143-3907
(617) 899-5217
Mailing address
18 ADRIAN ST, APT 1, SOMERVILLE, MA 02143-3907
(617) 899-5217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856697
MA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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