Individual
LANSARA JARUTHIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 CABOT ST, BEVERLY, MA 01915-3390
(978) 838-3071
Mailing address
377 CABOT ST, BEVERLY, MA 01915-3390
(978) 838-3071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858628
MA
Other
Enumeration date
04/02/2019
Last updated
07/20/2020
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