OMNI DENTIX & ASSOC.

Dentist - Pediatric Dentistry

Active Organization
NPI: 1104088491

Practice Address

3850 MYSTIC VALLEY PKWY
SUITE 20
Medford, MA 02155

Phone: (781) 396-6613

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 20309 (MA)
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X No 13913 (MA)
Dentist - Pediatric Dentistry 1223P0221X Yes 15376 (MA)

Frequently Asked Questions

NPI 1104088491 is the National Provider Identifier for OMNI DENTIX & ASSOC., a Dentist - Pediatric Dentistry provider located in Medford, MA. This NPI was enumerated on June 27, 2008.

Quick Facts

NPI
1104088491
Type
Organization
Enumerated
Jun 27, 2008
Last Updated
Jun 27, 2008

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