Individual
NEELIMA RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 HIGH ST, CLINTON, MA 01510-2556
(978) 368-0340
(978) 368-1719
Mailing address
200 HIGH ST, CLINTON, MA 01510-2556
(978) 368-0340
(978) 368-1719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301071
—
MA
Enumeration date
03/29/2006
Last updated
07/09/2007
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