Organization
DESJARDINS MANAGEMENT INC.
Active
Parent organization
DESJARDINS MANAGEMNT INC.
Other names
Community Dentists
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESJARDINS MANAGEMNT INC.
Authorized official
MRS. LILIAN CORALIA DESJARDINS (PRESIDENT)
(978) 459-4949
Entity
Organization
Contact information
Practice address
1484 GORHAM ST, LOWELL, MA 01852-5241
(978) 459-4949
(978) 453-2828
Mailing address
1484 GORHAM ST, LOWELL, MA 01852-5241
(978) 459-4949
(978) 453-2828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9752170
—
MA
Enumeration date
11/11/2008
Last updated
08/06/2014
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