Mass Children Healthy Smiles

NPI #1083916365 in Bridgewater, Massachusetts

Provider Information

NPI Number: 1083916365
Entity Type: Organization
Organization Name: Mass Children Healthy Smiles
Primary Specialty: Dental Hygienist
Enumeration Date: Nov 18, 2010
Last Updated: Nov 18, 2010

Practice Location

Address: 19 GREEN LEAF RD
City: Bridgewater
State: Massachusetts
ZIP Code: 02324-2154
Phone: (508) 979-0373

Authorized Official

Name: MRS. KATHLEEN M LUISI, R.D.H.
Title: PUBLIC HEALTH DENTAL HYGIENIST
Phone: (617) 913-3321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Mass Healthy Smiles, LLC	Dental Hygienist	Bridgewater	AI Deep Dive

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