Individual
KRITHIKA BASKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
55 LAKE AVE N, DENTAL RESIDENCY, WORCESTER, MA 01655-0002
(508) 334-7834
Mailing address
55 LAKE AVE N, DENTAL RESIDENCY, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL10934
MA
Other
Enumeration date
06/21/2010
Last updated
08/26/2010
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