IndividualActive
Audra Reynoso, D.M.D.
NPI 1235542903 · Orthodontics and Dentofacial Orthopedics Dentistry · Lawrence, MA
Provider details
- NPI number
- 1235542903
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- DN1856601 (MA)
Specialties & taxonomies
Dental Providers
Practice location
100 Amesbury St
Suite 110
Lawrence, MA 01840-1321
Phone: (978) 686-3838
Approximate (ZIP-level) locationGet directions
Mailing address
809 E 4th St
Boston, MA 02127-3242
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2016-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.