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1144842758
IDAN YAAKOV DAVIDYAN
BEVERLY, MA
NPI
1144842758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA DN1858650)
Enumeration Date
2020-05-18
Last Update Date
2020-07-28
Business Address
Dr. IDAN YAAKOV DAVIDYAN DMD
9 BROADWAY
BEVERLY, MA 01915-4417
Phone number: 978-922-0778
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Mailing Address
Dr. IDAN YAAKOV DAVIDYAN DMD
2 ELM TOP LN
BEVERLY, MA 01915-4665
Phone number: 978-778-4256
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