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Individual

DR. RAMYA KANNAN SURESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
129 LINCOLN ST, WORCESTER, MA 01605-2402
(508) 754-5891
Mailing address
1317 AVALON DR, ACTON, MA 01720-3452
(978) 944-0589

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856166
MA

Other

Enumeration date
12/12/2012
Last updated
12/12/2012
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