Individual
DR. RATHNA VALLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MHA, BDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL100743
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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