Mystic Dental Studio PC

NPI #1083046114 in Chelsea, Massachusetts

Provider Information

NPI Number: 1083046114
Entity Type: Organization
Organization Name: Mystic Dental Studio PC
Primary Specialty: Dentist
Enumeration Date: Jul 31, 2013
Last Updated: Jul 31, 2013

Practice Location

Address: 158 EVERETT AVE
Address 2: UNIT 5
City: Chelsea
State: Massachusetts
ZIP Code: 02150-1813
Phone: (617) 884-6800

Authorized Official

Name: AIDA PADRON, DMD
Title: OWNER
Phone: (617) 884-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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