Individual
DR. PRAVIN CHELLAMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
500 SOUTH ST W, RAYNHAM, MA 02767-5342
(508) 821-1428
Mailing address
35 NORTHAMPTON ST, APT # 2105, BOSTON, MA 02118-4014
(857) 753-7213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22008
MA
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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