Mystic Westerly Orthodontics, PC
NPI #1174933162 in Mystic, Connecticut
Provider Information
- NPI Number
- 1174933162
- Entity Type
- Organization
- Organization Name
- Mystic Westerly Orthodontics, PC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Apr 30, 2014
- Last Updated
- Apr 30, 2014
Practice Location
- Address
- 117 COW HILL RD
- City
- Mystic
- State
- Connecticut
- ZIP Code
- 06355-1449
- Phone
- (860) 536-9661
Authorized Official
- Name
- DR. JEFFREY TODD KOZLOWSKI, DDS
- Title
- PRESIDENT
- Phone
- (860) 442-4421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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