Organization
BIG SMILES DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA MOHAN MANISH DMD (OWNER)
(603) 738-6808
Entity
Organization
Contact information
Practice address
433 CENTER ST, SUITE#7, LUDLOW, MA 01056-2863
(413) 610-2500
(413) 610-2300
Mailing address
15 S CHELMSFORD RD, WESTFORD, MA 01886-3716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855134
MA
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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