Individual
DR. PRAVEENA SEETHARAM SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
160 MARKET ST, LYNN, MA 01901-1529
(781) 593-1133
Mailing address
160 MARKET ST, LYNN, MA 01901-1529
(781) 593-1133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855480
MA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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