Individual
DR. ADAM NOURI DARVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
15 SALEM ST, WORCESTER, MA 01608-2006
(774) 232-3136
Mailing address
109 MEADOW WOOD DR, HOLDEN, MA 01520-1516
(774) 232-3136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856103
MA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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