Individual
CHANDRA MOHAN MANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
235B MEMORIAL AVENUE, WEST SPRINGFIELD, MA 01028-2780
(603) 738-6808
Mailing address
235B MEMORIAL AVENUE, WEST SPRINGFIELD, MA 01028-2780
(603) 738-6808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855134
MA
Other
Enumeration date
06/02/2009
Last updated
10/23/2014
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