Individual
RAMESH DURVASULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
345 CILLEY RD, MANCHESTER, NH 03103-4500
(603) 669-7584
(603) 625-8464
Mailing address
345 CILLEY ROAD, MEDICAL ARTS BUILDING, MANCHESTER, NH 03103
(603) 669-7584
(603) 625-8464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3171
NH
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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