Individual
MR. JOHN JAMES CARAVOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 HOPE AVE, SUITE 306, WALTHAM, MA 02453
(781) 647-0804
(781) 647-6730
Mailing address
20 HOPE AVE, SUITE 306, WALTHAM, MA 02453
(781) 647-0804
(781) 647-6730
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257524
—
MA
Enumeration date
09/27/2006
Last updated
07/08/2007
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