Dr. Mickey's Orthodontics, L.l.c.
NPI #1720320377 in Stoneham, Massachusetts
Provider Information
- NPI Number
- 1720320377
- Entity Type
- Organization
- Organization Name
- Dr. Mickey's Orthodontics, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EUGENE A MICKEY, DMD, MPH, PC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Mar 21, 2013
- Last Updated
- Mar 21, 2013
Practice Location
- Address
- 92 MONTVALE AVE
- Address 2
- SUITE 4300
- City
- Stoneham
- State
- Massachusetts
- ZIP Code
- 02180-3647
- Phone
- (781) 279-2400
Authorized Official
- Name
- DR. EUGENE A MICKEY, DMD
- Title
- PRESIDENT/OWNER
- Phone
- (781) 279-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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