| NPI | 1356460471 |
|---|---|
| Other Name | THE CLASSIC SMILE |
| Entity Type | Organization |
| Authorized Contact | RICHARD A SHORT Partner 781-396-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 15145) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |