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 |