Fred J. Ravens Iii Dds Pc | |
198 Ash St Reading MA 01867-3623 | |
(781) 944-0464 | |
Not Available |
Full Name | Fred J. Ravens Iii Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 198 Ash St, Reading, Massachusetts |
Authorized Official Name and Position | Fred J Ravens (OWNER) |
Authorized Official Contact | 7819440464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fred J. Ravens Iii Dds Pc 198 Ash St Reading MA 01867-3623 Ph: (781) 944-0464 | Fred J. Ravens Iii Dds Pc 198 Ash St Reading MA 01867-3623 Ph: (781) 944-0464 |
NPI Number | 1366618662 |
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Provider Enumeration Date | 05/06/2008 |
Last Update Date | 05/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366618662 | NPI | - | NPPES |
X05118 | Other | MA | BLUE CROSS BLUE SHEILD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13948 (Massachusetts) | Primary |
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