Individual
MANISH BHAGANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MDS
Contact information
Practice address
100 E NEWTON ST, SUITE 407, BOSTON, MA 02118-2308
(857) 971-0568
Mailing address
100 E NEWTON ST, SUITE 407, BOSTON, MA 02118-2308
(857) 971-0568
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DF11172
MA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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