Individual
DR. AMUTHA RAGURAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055266
NY
122300000X
Dentist
22DI02427000
NJ
Other
Enumeration date
06/25/2010
Last updated
03/09/2016
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