Smiles by Rosie, Inc.

NPI #1326304841 in Somerville, Massachusetts

Provider Information

NPI Number: 1326304841
Entity Type: Organization
Organization Name: Smiles by Rosie, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 10, 2012
Last Updated: Apr 10, 2012

Practice Location

Address: 6 KENSINGTON AVE
City: Somerville
State: Massachusetts
ZIP Code: 02145-2107
Phone: (617) 623-2100

Authorized Official

Name: DR. KATIE-ROSE RADIN WAGNER, DDS
Title: PRESIDENT
Phone: (617) 623-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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