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NPI Code Detail

MEDICARE: WESTON ORTHODONTIC ASSOCIATES, INC.

MEDICARE: WESTON ORTHODONTIC ASSOCIATES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry16123MA

General Provider Information

NPI Number : 1710909692
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTON ORTHODONTIC ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 30 COLPITTS RD
Second Line :
City : WESTON
State : MA
Zip : 02493-1534
Country : US
Telephone Number : 781-894-1127
Fax Number :
Provider Business Practice Location Address
First Line : 30 COLPITTS RD
Second Line :
City : WESTON
State : MA
Zip : 02493-1534
Country : US
Telephone Number : 781-894-1127
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. UNAE K. HAN
Credential : D.M.D.
Telephone Number : 781-894-1127
Provider Enumeration Date : 07/23/2006
Last Update Date : 08/22/2020

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Directions to “WESTON ORTHODONTIC ASSOCIATES, INC. ” Practice Location

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