DR. Suman Raghavan, DDS
NPI #1659118990 in St Augustine, Florida
Provider Information
- NPI Number
- 1659118990
- Entity Type
- Individual
- Name
- DR. Suman Raghavan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 12, 2024
- Last Updated
- Jul 12, 2024
Practice Location
- Address
- 149 TUSCAN WAY
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-1860
- Phone
- (904) 679-3240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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