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DR. ANATOLIY RAVIN DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1427053701

Individual Registrant:
DR. ANATOLIY  RAVIN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
9 COVEY RD  BURLINGTON, CT 06013-1720 US
Tel: 860-673-9141  Fax: 860-673-4842

Contact information for business:
9 COVEY RD  BURLINGTON, CT 06013-1720 US
Tel: 860-673-9141  Fax: 860-673-4842

Registration Information:
NPI: 1427053701
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
CT008890
Y1223G0001XDental Providers
Dentist
CT008890

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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