| Smile Dental Revere Llc | |
|
144 Broadway # 2 Revere MA 02151-5349 | |
| (781) 284-2275 | |
| Not Available |
| Full Name | Smile Dental Revere Llc |
|---|---|
| Speciality | Dentist |
| Location | 144 Broadway # 2, Revere, Massachusetts |
| Authorized Official Name and Position | Bella Yanovsky (MANAGER) |
| Authorized Official Contact | 7812842275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Dental Revere Llc 144 Broadway # 2 Revere MA 02151-5349 Ph: (781) 284-2275 | Smile Dental Revere Llc 144 Broadway # 2 Revere MA 02151-5349 Ph: (781) 284-2275 |
| NPI Number | 1679209340 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679209340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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