Organization
SMILESUITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM LEVINE (PRESIDENT/MEMBER)
(844) 992-5446
Entity
Organization
Contact information
Practice address
135 PROSPECT HILL RD, HARVARD, MA 01451-1303
(781) 710-7632
Mailing address
18 MUZZEY ST, LEXINGTON, MA 02421-5224
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
04/10/2023
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