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Individual

RANI VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 LAKEVIEW GDNS, NATICK, MA 01760-2633
(315) 580-2069
Mailing address
1 LAKEVIEW GDNS, NATICK, MA 01760-2633
(315) 580-2069

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
S57780302
MA
1223G0001X
General Practice Dentistry
Primary
S57780302
MA

Other

Enumeration date
06/21/2012
Last updated
08/31/2020
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