| NPI | 1417966946 |
|---|---|
| Doing Business As | MILFORD SMILES |
| Entity Type | Organization |
| Authorized Contact | THEODORE IRA GOLDBERG Dentist 508-473-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 19936) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |