Organization
SMILEVANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDIS SMITH (OWNER)
(857) 294-6168
Entity
Organization
Contact information
Practice address
690 DEPOT ST, UNIT 3, EASTON, MA 02356
(508) 238-2924
Mailing address
690 DEPOT ST, UNIT 3, EASTON, MA 02356
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856022
MA
Other
Enumeration date
06/23/2016
Last updated
02/07/2017
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