| Peachy Smiles Ashmont Llc | |
|
172 Ashmont St Dorchester Center MA 02124-3745 | |
| (617) 288-2920 | |
| (617) 288-2992 |
| Full Name | Peachy Smiles Ashmont Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 172 Ashmont St, Dorchester Center, Massachusetts |
| Authorized Official Name and Position | Peach B Dore-tyrell (DENTIST) |
| Authorized Official Contact | 6172882920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachy Smiles Ashmont Llc 172 Ashmont St Dorchester Center MA 02124-3745 Ph: (617) 288-2920 | Peachy Smiles Ashmont Llc 172 Ashmont St Dorchester Center MA 02124-3745 Ph: (617) 288-2920 |
| NPI Number | 1831345834 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831345834 | NPI | - | NPPES |
| 0280771 | Other | MA | MASS HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19161 (Massachusetts) | Primary |
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