| NPI | 1194597245 |
|---|---|
| Doing Business As | SMILE DENTAL OF REVERE BEACH |
| Entity Type | Organization |
| Authorized Contact | MEHDI RAHMATPOUR Owner 617-567-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |