Organization
SMILES BY ROSIE VACCINATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE-ROSE WAGNER DDS (IMMUNIZER)
(617) 684-5058
Entity
Organization
Contact information
Practice address
6 KENSINGTON AVE, SOMERVILLE, MA 02145-2107
(617) 684-5058
Mailing address
6 KENSINGTON AVE, SOMERVILLE, MA 02145-2107
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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