Organization
SEAPORT ORTHODONTICS, PC
Active
Other names
Seaport Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLA OSBORN DMD (OWNER/DOCTOR)
(781) 254-6804
Entity
Organization
Contact information
Practice address
268 SUMMER ST, BOSTON, MA 02210-1108
(617) 752-2220
Mailing address
25 NORTHERN AVE UNIT 1209, BOSTON, MA 02210-1994
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
Other
Enumeration date
04/04/2019
Last updated
06/11/2019
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