Organization
NORTH BILLERICA SMILES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RICHARD ANNESE DMD (OWNER)
(978) 804-3641
Entity
Organization
Contact information
Practice address
315 BOSTON RD, NORTH BILLERICA, MA 01862-2635
(978) 804-3641
Mailing address
45 DERBY ST, CONCORD, MA 01742-3038
(978) 804-3641
(978) 425-4503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856006
MA
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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