Smile Dental Revere LLC

NPI #1679209340 in Revere, Massachusetts

Provider Information

NPI Number: 1679209340
Entity Type: Organization
Organization Name: Smile Dental Revere LLC
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2022
Last Updated: Jul 29, 2022

Practice Location

Address: 144 BROADWAY # 2
City: Revere
State: Massachusetts
ZIP Code: 02151-5349
Phone: (781) 284-2275

Authorized Official

Name: MRS. BELLA YANOVSKY
Title: MANAGER
Phone: (781) 284-2275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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