| Smile Wider Pc | |
|
26 Cummins Hwy Roslindale MA 02131-2515 | |
| (617) 323-1966 | |
| (401) 949-4618 |
| Full Name | Smile Wider Pc |
|---|---|
| Speciality | Dentist |
| Location | 26 Cummins Hwy, Roslindale, Massachusetts |
| Authorized Official Name and Position | Hasan Alsawaf (DENTIST) |
| Authorized Official Contact | 4012120588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wider Pc Po Box 119 Roslindale MA 02131-0004 Ph: (617) 323-1966 | Smile Wider Pc 26 Cummins Hwy Roslindale MA 02131-2515 Ph: (617) 323-1966 |
| NPI Number | 1639473945 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639473945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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