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Organization

A BEAUTIFUL SMILE DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID JIN DDS (MEMBER/MANAGER)
(617) 390-5371
Entity
Organization

Contact information

Practice address
1864 CENTRE ST, SUITE 1, WEST ROXBURY, MA 02132-1919
(617) 390-5371
Mailing address
1864 CENTRE ST, SUITE 1, WEST ROXBURY, MA 02132-1919
(617) 390-5371

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856750
MA

Other

Enumeration date
10/01/2015
Last updated
10/01/2015
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