Individual
DR. THOMAS J RAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
365 MAIN ST, WATERTOWN, CT 06795-2249
(860) 274-1051
(860) 274-9595
Mailing address
365 MAIN STREET, WATERTOWN, CT 06795
(860) 274-1051
(860) 274-9595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06714
CT
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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