| NPI | 1346410024 |
|---|---|
| Doing Business As | WATERTOWN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ANNA K SIMON Member 617-926-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 21077) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-07-11 |