Individual
MANJULA RAMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1214 PARK ST, STOUGHTON, MA 02072-3738
(781) 297-7360
(781) 297-7830
Mailing address
22 AVERY PATH, NEWTON, MA 02459-3723
(781) 710-3834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20053
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120372
—
MA
Enumeration date
11/20/2006
Last updated
09/14/2011
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