Organization
BELMONT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER ATHANASIOU D.M.D. (OWNER)
(617) 489-5500
Entity
Organization
Contact information
Practice address
16 TRAPELO RD, BELMONT, MA 02478-4442
(617) 489-5500
(617) 489-7064
Mailing address
16 TRAPELO RD, BELMONT, MA 02478-4442
(617) 489-5500
(617) 489-7064
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20896
MA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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