Organization
SMILE BOUTIQUE, PC
Active
Other names
PRIME SMILE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MOJGAN RAHIMI DMD (TREASURER)
(781) 729-1444
Entity
Organization
Contact information
Practice address
49 CHURCH ST, WINCHESTER, MA 01890-2508
(781) 729-1444
(781) 729-1233
Mailing address
49 CHURCH ST, WINCHESTER, MA 01890-2508
(781) 729-1444
(781) 729-1233
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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