Individual provider · Type 1 NPI

Buddhathida Wangsrimongkol

Orthodontics and Dentofacial Orthopedics Dentistry · Boston, MA

NPI number 1902281801 Active

Practice location

188 Longwood Ave
Boston, MA 02115-5819

Mailing address

400 Brookline Ave Apt 14C
Boston, MA 02215-5406

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDL12648 (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 1902281801

Buddhathida Wangsrimongkol's National Provider Identifier is 1902281801, issued on Jul 21, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boston, MA. The record was last updated on Feb 23, 2016.