Organization
MYSTIC CENTER FOR SLEEP APNEA AND SNORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIDA PADRON (OWNER)
(617) 820-9591
Entity
Organization
Contact information
Practice address
158 EVERETT AVE UNIT 5, CHELSEA, MA 02150-1811
(617) 820-9591
Mailing address
158 EVERETT AVE UNIT 5, CHELSEA, MA 02150-1811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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