Organization
JUST SMILES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C. DO D.D.S. (PRESIDENT)
(817) 706-7410
Entity
Organization
Contact information
Practice address
622 SOMERVILLE AVE, SOMERVILLE, MA 02143-3211
(617) 623-8489
Mailing address
34 TISDALE DR, DOVER, MA 02030-1600
(817) 706-7410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22044
MA
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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