Individual
DR. DOUGLAS CARL CHESPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
41B STATE ST, LYNN, MA 01901-1504
(781) 592-3200
Mailing address
650 OCEAN AVE # 544, REVERE, MA 02151-1271
(805) 427-0537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857637
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2016
Last updated
07/21/2022
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