| Kangaroo Smiles | |
|
413 Broadway Suite B Methuen MA 01844-2062 | |
| (978) 425-1496 | |
| (978) 215-5265 |
| Full Name | Kangaroo Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 413 Broadway, Methuen, Massachusetts |
| Authorized Official Name and Position | Simon Beylin (VICE PRESIDENT) |
| Authorized Official Contact | 9784251496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kangaroo Smiles 413 Broadway Suite B Methuen MA 01844-2062 Ph: (978) 425-1496 | Kangaroo Smiles 413 Broadway Suite B Methuen MA 01844-2062 Ph: (978) 425-1496 |
| NPI Number | 1902356306 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902356306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856357 (Massachusetts) | Primary |
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