Smile Group Dental | |
101 Allstate Rd Suite 107 Dorchester MA 02125-1641 | |
(617) 442-2535 | |
Not Available |
Full Name | Smile Group Dental |
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Speciality | Dentist - General Practice |
Location | 101 Allstate Rd, Dorchester, Massachusetts |
Authorized Official Name and Position | John T Tieu (DENTIST) |
Authorized Official Contact | 6174422535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Group Dental 101 Allstate Rd Suite 107 Dorchester MA 02125-1641 Ph: (617) 442-2535 | Smile Group Dental 101 Allstate Rd Suite 107 Dorchester MA 02125-1641 Ph: (617) 442-2535 |
NPI Number | 1588865349 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588865349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 20059 (Massachusetts) | Primary |
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