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Individual

DR. SHRUTI MANTRAVADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
260 E CENTRAL ST, FRANKLIN, MA 02038-1319
(508) 528-0200
Mailing address
28 WAYSIDE DR, HOPKINTON, MA 01748-2815
(347) 463-3907

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
03345
RI
1223G0001X
General Practice Dentistry
Primary
1857623
MA

Other

Enumeration date
07/11/2017
Last updated
07/04/2022
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