| A Beautiful Smile Dentistry Llc | |
|
1864 Centre St Suite 1 West Roxbury MA 02132-1919 | |
| (617) 390-5371 | |
| Not Available |
| Full Name | A Beautiful Smile Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1864 Centre St, West Roxbury, Massachusetts |
| Authorized Official Name and Position | David Jin (MEMBER/MANAGER) |
| Authorized Official Contact | 6173905371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Smile Dentistry Llc 1864 Centre St Suite 1 West Roxbury MA 02132-1919 Ph: (617) 390-5371 | A Beautiful Smile Dentistry Llc 1864 Centre St Suite 1 West Roxbury MA 02132-1919 Ph: (617) 390-5371 |
| NPI Number | 1568832673 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568832673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856750 (Massachusetts) | Primary |
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