Individual
MR. SCHADRAC DESROSIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DA, RDH
Contact information
Practice address
117 PORTLAND ST, HAVERHILL, MA 01830-5016
(617) 682-9554
Mailing address
117 PORTLAND ST, HAVERHILL, MA 01830-5016
(617) 682-9554
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH88670
MA
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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