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General NPI Number Information
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NPI Number | 1912857160
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Entity Type | Organization
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Legal Business Name | 137 S ST SMILE STUDIO PLLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 137 SOUTH ST
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City | BOSTON
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State | MA
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Zip | 02111-2848
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Country | US
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Telephone | 617-362-8032
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Fax |
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Provider Business Mailing Address
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Address Line | 137 SOUTH ST FL 2
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City | BOSTON
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State | MA
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Zip | 02111-2848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | KHUSHBOO JAIN
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Credential |
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Telephone | 650-450-1596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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