Organization
SMILE DENTAL, PC
Active
Other names
broadway dental
Organization subpart
No
Provider details
NPI number
Authorized official
BELLA OSTROVSKY (MANAGER)
(781) 284-2275
Entity
Organization
Contact information
Practice address
144 BROADWAY # 2, REVERE, MA 02151-5349
(781) 284-2275
(781) 426-7614
Mailing address
144 BROADWAY # 2, REVERE, MA 02151-5349
(781) 284-2275
(781) 426-7614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19044
MA
Other
Enumeration date
02/25/2011
Last updated
10/12/2022
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