Individual provider · Type 1 NPI

Audra Buckley Reynoso, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Lawrence, MA

NPI number 1235542903 Active

Practice location

100 Amesbury St, Suite 110
Lawrence, MA 01840-1321

Mailing address

809 E 4th St, Unit 3
Boston, MA 02127-3242

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN1856601 (MA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1235542903

Audra Buckley Reynoso, DMD's National Provider Identifier is 1235542903, issued on Jun 10, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lawrence, MA. The record was last updated on Jul 11, 2016.