Smile Wider PC

NPI #1639473945 in Roslindale, Massachusetts

Provider Information

NPI Number: 1639473945
Entity Type: Organization
Organization Name: Smile Wider PC
Primary Specialty: Dentist
Enumeration Date: Dec 29, 2010
Last Updated: Dec 29, 2010

Practice Location

Address: 26 CUMMINS HWY
City: Roslindale
State: Massachusetts
ZIP Code: 02131-2515
Phone: (617) 323-1966

Authorized Official

Name: DR. HASAN ALSAWAF, DMD
Title: DENTIST
Phone: (401) 212-0588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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