| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SCHADRAC DESROSIERS | 1831782598 | 2021-02-13 |
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 Type | Individual |
| Provider Name | Mr. Schadrac Desrosiers DA, RDH |
| Practice Office Address | 117 PORTLAND ST HAVERHILL, MA US |
| Practice Office Telephone | 6176829554 |
| Mailing Address | 117 PORTLAND ST HAVERHILL, MA 018305016 US |
| Business Telephone | 6176829554 |
| Code | Practice | License No State |
|---|---|---|
| 124Q00000X PRIMARY | Dental Providers Dental Hygienist Dental Hygienist Dental Hygienist Dental Providers | DH88670
MA |