| Mystic Dental Studio Pc | |
|
158 Everett Ave Unit 5 Chelsea MA 02150-1813 | |
| (617) 884-6800 | |
| Not Available |
| Full Name | Mystic Dental Studio Pc |
|---|---|
| Speciality | Dentist |
| Location | 158 Everett Ave, Chelsea, Massachusetts |
| Authorized Official Name and Position | Aida Padron (OWNER) |
| Authorized Official Contact | 6178846800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mystic Dental Studio Pc 158 Everett Ave Unit 5 Chelsea MA 02150-1813 Ph: (617) 884-6800 | Mystic Dental Studio Pc 158 Everett Ave Unit 5 Chelsea MA 02150-1813 Ph: (617) 884-6800 |
| NPI Number | 1083046114 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083046114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20625 (Massachusetts) | Primary |
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