Organization
SMILE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI RAHMATPOUR DMD (OWNER)
(617) 913-0456
Entity
Organization
Contact information
Practice address
12 BENNINGTON ST, EAST BOSTON, MA 02128-1771
(617) 913-0456
Mailing address
12 BENNINGTON ST, EAST BOSTON, MA 02128-1771
(617) 913-0456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19757
MA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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