Organization
CENTRAL SQUARE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNAL BHALLA DDS (DENTIST)
(917) 574-0508
Entity
Organization
Contact information
Practice address
38 CENTRAL SQ, EAST BOSTON, MA 02128-1911
(617) 569-3131
(617) 567-5361
Mailing address
38 CENTRAL SQ, EAST BOSTON, MA 02128-1911
(617) 569-3131
(617) 567-5361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856422
MA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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