Organization
DRS DARVISH & GALLAGHER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOUCH DARVISH (PRESIDENT)
(508) 756-6264
Entity
Organization
Contact information
Practice address
200 LINCOLN STREET, WORCESTER, MA 01605
(508) 756-6264
(508) 756-6490
Mailing address
200 LINCOLN STREET, WORCESTER, MA 01605
(508) 756-6264
(508) 756-6490
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1053411798
MA
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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