Individual
DR. IVANA NANDHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
106 MAIN ST STE 5, STONEHAM, MA 02180-3362
(781) 438-1003
(781) 435-1996
Mailing address
106 MAIN ST STE 5, STONEHAM, MA 02180-3362
(781) 438-1003
(781) 435-1996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857848
MA
Other
Enumeration date
03/20/2017
Last updated
02/21/2023
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