| Smile Dental Center | |
|
12 Bennington St East Boston MA 02128-1771 | |
| (617) 913-0456 | |
| Not Available |
| Full Name | Smile Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Bennington St, East Boston, Massachusetts |
| Authorized Official Name and Position | Mehdi Rahmatpour (OWNER) |
| Authorized Official Contact | 6179130456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Dental Center 12 Bennington St East Boston MA 02128-1771 Ph: (617) 913-0456 | Smile Dental Center 12 Bennington St East Boston MA 02128-1771 Ph: (617) 913-0456 |
| NPI Number | 1861856353 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861856353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19757 (Massachusetts) | Primary |
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