IndividualActive
Buddhathida Wangsrimongkol
NPI 1902281801 · Orthodontics and Dentofacial Orthopedics Dentistry · Boston, MA
Provider details
- NPI number
- 1902281801
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DL12648 (MA)
Specialties & taxonomies
Dental Providers
Practice location
188 Longwood Ave
Boston, MA 02115-5819
Phone: (617) 432-1434
Approximate (ZIP-level) locationGet directions
Mailing address
400 Brookline Ave Apt 14c
Boston, MA 02215-5406
Registry dates
- Enumerated
- 2015-07-21
- Last updated
- 2016-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.