Methuen Smiles LLC
Dentist, General Practice in Methuen, MA. Organization (NPI-2).
NPI number1366972747
StatusActive
Last updated in NPPESJun 18, 2017
Details
- NPI
- 1366972747
- Entity type
- Organization (NPI-2)
- Legal business name
- Methuen Smiles LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2017
- Last updated
- Jun 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 21137 | MA | Yes |
Practice location
100 Milk St Ste 200Methuen, MA 01844-4660
Phone 978-685-7115
Mailing address
16 Stoneybrook CirAndover, MA 01810-6408
Phone 617-947-0110
Authorized official
Jyoti Mahajan
Dentist
6179470110
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