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Individual

DR. SATHYABALA VELUSAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
252 ADELAIDE AVE, PROVIDENCE, RI 02907-1833
(857) 272-8127
Mailing address
287 CHAUNCY ST, APT# C-101, MANSFIELD, MA 02048-1173
(857) 272-8127

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22264
MA

Other

Enumeration date
07/25/2008
Last updated
11/06/2010
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