Organization
RAGHAV SAI DENTAL
Active
Other names
Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MANJULA BATTALURI DMD (DENTIST)
(978) 853-8610
Entity
Organization
Contact information
Practice address
21 GEORGE ST, 201, LOWELL, MA 01852-2228
(978) 453-8610
Mailing address
2 JACK RABBIT LN, WESTFORD, MA 01886-6804
(617) 320-9858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19616
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201260
—
MA
Enumeration date
04/21/2016
Last updated
04/21/2016
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