Individual
MEENAKSHY YEGNESWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 PLEASANT ST, 201, WORCESTER, MA 01609-3213
(508) 752-2485
Mailing address
3 GREENWOOD ROAD, HOPKINTON, MA 01748
(508) 435-4651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19764
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206075
—
MA
Enumeration date
04/02/2007
Last updated
08/16/2010
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