Individual
MRS. NATALYA IOSIFOVNA KRAVETSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
30 STATE ST, LYNN, MA 01901-1505
(781) 595-8606
(781) 595-8370
Mailing address
104 STANLEY RD, SWAMPSCOTT, MA 01907-1459
(781) 593-6958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282146
—
MA
Enumeration date
03/19/2007
Last updated
07/09/2007
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