Organization
EDWARD C. MICHAUD, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CONRAD MICHAUD D.D.S., M.S. (ORTHODONTIST)
(781) 899-6666
Entity
Organization
Contact information
Practice address
512 BOSTON POST ROAD, WESTON, MA 02493
(781) 899-6666
(781) 899-6669
Mailing address
P.O. BOX 413, WESTON, MA 02493
(781) 899-6666
(781) 899-6669
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN9453
MA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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