Individual
ANNA RAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
155 MAIN ST STE 1, MANCHESTER, CT 06042-3126
(860) 646-1515
(860) 646-5092
Mailing address
155 MAIN ST STE 1, MANCHESTER, CT 06042-3126
(860) 646-1515
(860) 646-5092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9000
CT
Other
Enumeration date
09/12/2006
Last updated
03/20/2012
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