| NPI | 1588865349 |
|---|---|
| Doing Business As | SMILE GROUP DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN T TIEU Dentist 617-442-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20059) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |