Organization
AXIS ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E ELON JOFFRE DMD (PRESIDENT)
(617) 320-2587
Entity
Organization
Contact information
Practice address
980 MAIN ST, WALTHAM, MA 02451-7404
(781) 899-2340
Mailing address
980 MAIN ST, WALTHAM, MA 02451-7404
(781) 899-2340
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21568
MA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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