Organization
ORTHODONTIC SPECIALISTS OF SOUTHEASTERN MASSACHUSETTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GWOZDZ (SECRETARY)
(508) 998-1232
Entity
Organization
Contact information
Practice address
2856 ACUSHNET AVE, NEW BEDFORD, MA 02745-1618
(508) 998-1232
Mailing address
2856 ACUSHNET AVE, NEW BEDFORD, MA 02745-1618
(508) 998-1232
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
09/18/2008
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