Individual
DR. DESH DEEP MANDHYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
175 UNION ST, LYNN, MA 01901-1310
(781) 592-9250
Mailing address
26 WORCESTER ST, APT 101, BOSTON, MA 02118-3322
(405) 219-1760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855224
MA
1223G0001X
General Practice Dentistry
Primary
010347
CT
Other
Enumeration date
07/23/2009
Last updated
08/27/2013
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