Organization
SMILE DENTAL REVERE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELLA YANOVSKY (MANAGER)
(781) 284-2275
Entity
Organization
Contact information
Practice address
144 BROADWAY # 2, REVERE, MA 02151-5349
(781) 284-2275
Mailing address
144 BROADWAY # 2, REVERE, MA 02151-5349
(781) 284-2275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/29/2022
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