Individual
JAYAKRISHNAN VARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 STAFFORD ST, WORCESTER, MA 01603-1450
(617) 358-8300
Mailing address
18 CONSTITUTION CT, HOPKINTON, MA 01748-2891
(857) 423-4618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000512
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2024
Last updated
09/11/2024
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