Individual
DR. IDAN YAAKOV DAVIDYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9 BROADWAY, BEVERLY, MA 01915-4417
(978) 922-0778
Mailing address
2 ELM TOP LN, BEVERLY, MA 01915-4665
(978) 778-4256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858650
MA
Other
Enumeration date
05/18/2020
Last updated
07/28/2020
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