Organization
SOMERVILLE AND MEDFORD ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADI DAVIDYAN (OWNER)
(617) 284-6474
Entity
Organization
Contact information
Practice address
474 BROADWAY APT 110, SOMERVILLE, MA 02145-2630
(617) 284-6474
Mailing address
474 BROADWAY APT 110, SOMERVILLE, MA 02145-2630
(617) 284-6474
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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