| Dr. Mickey's Orthodontics, L.l.c. | |
|
92 Montvale Ave Suite 4300 Stoneham MA 02180-3647 | |
| (781) 279-2400 | |
| Not Available |
| Full Name | Dr. Mickey's Orthodontics, L.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 92 Montvale Ave, Stoneham, Massachusetts |
| Authorized Official Name and Position | Eugene A Mickey (PRESIDENT/OWNER) |
| Authorized Official Contact | 7812792400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mickey's Orthodontics, L.l.c. 92 Montvale Ave Suite 4300 Stoneham MA 02180-3647 Ph: (781) 279-2400 | Dr. Mickey's Orthodontics, L.l.c. 92 Montvale Ave Suite 4300 Stoneham MA 02180-3647 Ph: (781) 279-2400 |
| NPI Number | 1720320377 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 03/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720320377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN20656 (Massachusetts) | Primary |
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