Organization · Type 2 NPI

Mystic Valley Orthodontics

Orthodontics and Dentofacial Orthopedics Dentistry · Medford, MA

NPI number 1679744668 Active

Practice location

80 High St, Suite 2
Medford, MA 02155-3872

Fax (781) 391-6090

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X19234 (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…

10 other providers at this address

About NPI 1679744668

Mystic Valley Orthodontics's National Provider Identifier is 1679744668, issued on Mar 18, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Medford, MA. The record was last updated on Mar 18, 2008.