| NPI | 1770755654 |
|---|---|
| Former Legal Business Name | BEYOND YOUR SMILE, PC |
| Entity Type | Organization |
| Authorized Contact | SUE LEE Dentist/Owner 508-875-1060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: MA 18131) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2019-10-10 |