Individual
DEEPA RAVICHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
25 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3244
(401) 767-4161
(401) 767-5441
Mailing address
25 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3244
(617) 750-2135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03477
RI
1223G0001X
General Practice Dentistry
DN1856959
MA
Other
Enumeration date
07/16/2015
Last updated
09/18/2019
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