Individual
LAXMAN BISHWAKARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 PLEASANT ST STE 325, MALDEN, MA 02148-5124
(240) 602-5638
Mailing address
6 PLEASANT ST STE 325, MALDEN, MA 02148-5124
(781) 397-8600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000330
MA
Other
Enumeration date
05/28/2024
Last updated
07/10/2024
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