Sujatha L Revur, GENERALDENTISTRY
Sujatha L Revur, GENERALDENTISTRY is a Dentist in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.
- Licensed in
- MA
- In the registry since
- 2006
Practice location Address checks out
26 Queen St DentalWorcester, MA 01610-2473
Phone: (508) 860-7700
Fax: (508) 860-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 19824 (MA) |
|---|
Record details
| NPI number | 1780695130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | GENERALDENTISTRY |
| Sole proprietor | No |
| NPI enumerated | August 11, 2006 |
| Last updated in NPPES | July 9, 2007 |
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