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General NPI Number Information
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NPI Number | 1417481201
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Entity Type | Organization
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Legal Business Name | SMILEY DENTAL CARE
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 950 AMERICAN LEGION HWY SUITE 6
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City | ROSLINDALE
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State | MA
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Zip | 02131-4701
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Country | US
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Telephone | 857-888-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 950 AMERICAN LEGION HWY SUITE 6
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City | ROSLINDALE
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State | MA
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Zip | 02131-4701
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Country | US
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Telephone | 857-888-8000
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Fax |
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Authorized Official
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Title or Position | OWNER/ DIRECTOR
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Name | DR. APARNA KHANNA
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Credential | DMD
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Telephone | 617-335-1167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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