| NPI | 1285196642 |
|---|---|
| Doing Business As | SEAPORT SMILES |
| Entity Type | Organization |
| Authorized Contact | ELLA OSBORN Owner/Doctor 781-254-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-06-11 |