Organization
BRATTLE STREET ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA KHEDKAR DMD (MANAGER)
(617) 441-5437
Entity
Organization
Contact information
Practice address
575 MOUNT AUBURN ST STE 202, CAMBRIDGE, MA 02138-4627
(617) 441-5437
Mailing address
575 MOUNT AUBURN ST STE 202, CAMBRIDGE, MA 02138-4627
(617) 441-5437
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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