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Schadrac Desrosiers

NPI Registration Record

Provider / OrganizationNPIDate Certified
SCHADRAC DESROSIERS18317825982021-02-13

Schadrac Desrosiers is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831782598. Registration indicates Schadrac Desrosiers is a provider of services with a specialization in Dental Providers, Dental Hygienist (Dental Hygienist, ) (Dental Hygienist, Dental Providers)

Entity TypeIndividual
Provider NameMr. Schadrac Desrosiers DA, RDH
Practice Office Address117 PORTLAND ST
HAVERHILL, MA US
Practice Office Telephone6176829554
Mailing Address117 PORTLAND ST
HAVERHILL, MA 018305016 US
Business Telephone6176829554
HPT Codes
CodePractice
License No
State
124Q00000X PRIMARY
Dental Providers
Dental Hygienist
Dental Hygienist

Dental Hygienist
Dental Providers
DH88670
MA
OPI Codes

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