| Axis Orthodontics Pc | |
|
980 Main St Waltham MA 02451-7404 | |
| (781) 899-2340 | |
| Not Available |
| Full Name | Axis Orthodontics Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 980 Main St, Waltham, Massachusetts |
| Authorized Official Name and Position | E Elon Joffre (PRESIDENT) |
| Authorized Official Contact | 6173202587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Orthodontics Pc 980 Main St Waltham MA 02451-7404 Ph: (781) 899-2340 | Axis Orthodontics Pc 980 Main St Waltham MA 02451-7404 Ph: (781) 899-2340 |
| NPI Number | 1396053542 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396053542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN21568 (Massachusetts) | Primary |
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