| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 211 Plain St, Lowell, Massachusetts |
| Authorized Official Name and Position | Michael R Buchler (OWNER) |
| Authorized Official Contact | 2094994250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
211 Plain St Lowell MA 01852-5119 Ph: () - | 211 Plain St Lowell MA 01852-5119 Ph: (209) 499-4250 |
| NPI Number | 1659904464 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659904464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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