Individual
RONEN MAVASHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 E BROADWAY UNIT 1, DERRY, NH 03038-2401
(603) 945-1287
Mailing address
55 E BROADWAY UNIT 1, DERRY, NH 03038-2401
(603) 945-1287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
05159
NH
122300000X
Dentist
110391
CA
122300000X
Dentist
Primary
30.028235
OH
Other
Enumeration date
07/30/2024
Last updated
01/12/2026
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