Organization
SMILES BY ROSIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE-ROSE RADIN WAGNER DDS (PRESIDENT)
(617) 623-2100
Entity
Organization
Contact information
Practice address
6 KENSINGTON AVE, SOMERVILLE, MA 02145-2107
(617) 623-2100
Mailing address
6 KENSINGTON AVE, SOMERVILLE, MA 02145-2107
(617) 623-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855704
MA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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