Individual
DR. ADI DAVIDYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 ELM TOP LN, BEVERLY, MA 01915-4665
(978) 578-6466
Mailing address
2 ELM TOP LN, BEVERLY, MA 01915-4665
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1858664
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2020
Last updated
07/01/2022
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