Organization
CHELIAN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUREN CHELIAN D.M.D. (PRACTICE OWNER)
(603) 882-6100
Entity
Organization
Contact information
Practice address
36 CONANT ST, DANVERS, MA 01923-2954
(978) 774-8266
Mailing address
36 CONANT ST, DANVERS, MA 01923-2954
(978) 774-8266
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3625
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-94911289
—
NH
Enumeration date
08/22/2016
Last updated
08/22/2016
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