| NPI | 1679013569 |
|---|---|
| Doing Business As | THE CLASSIC SMILE |
| Entity Type | Organization |
| Authorized Contact | RICHARD A SHORT Provider/Owner 781-396-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |