Peachy Smiles Ashmont LLC

NPI #1831345834 in Dorchester Center, Massachusetts

Provider Information

NPI Number: 1831345834
Entity Type: Organization
Organization Name: Peachy Smiles Ashmont LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 11, 2008
Last Updated: Aug 11, 2008

Practice Location

Address: 172 ASHMONT ST
City: Dorchester Center
State: Massachusetts
ZIP Code: 02124-3745
Phone: (617) 288-2920

Authorized Official

Name: DR. PEACH B DORE-TYRELL, DMD
Title: DENTIST
Phone: (617) 288-2920

Specialties & Taxonomy Codes

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

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