Organization
SMILES FOREVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDHI GEHLOT D.M.D, F.A.G.D (PRACTICE OWNER)
(781) 315-9460
Entity
Organization
Contact information
Practice address
80 HIGH ST UNIT 4, MEDFORD, MA 02155-3872
(781) 315-9460
Mailing address
27 DIVIDENCE RD, READING, MA 01867-1020
(781) 315-9460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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