Individual
KRISTIN L MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
290 BAKER AVE, SOUTH 102, CONCORD, MA 01742
(978) 369-4808
(978) 369-2341
Mailing address
290 BAKER AVE, SOUTH 102, CONCORD, MA 01742
(978) 369-4808
(978) 369-2341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17167
MA
Other
Enumeration date
07/17/2006
Last updated
09/01/2007
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