Peachy Smiles Ashmont Llc
General Practice Dentistry in Dorchester Center, MA(View on Map)
Legal Business Name
Peachy Smiles Ashmont Llc
NPI Number
1831345834
NPI Type
Organization
Enumeration Date
08/11/2008
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
19161
Contact
Information
Purpose
Mailing
Location
Address
172 ASHMONT ST
172 ASHMONT ST
City
Dorchester Center
Dorchester Center
State
MA
MA
Postal Code
02124-3745
02124-3745
Country
US
US
Telephone Number
(617) 288-2920
(617) 288-2920
Authorized Official
Name
Dr. Peach Dore-tyrell
Title or Position
DENTIST
Telephone Number
(617) 288-2920
Identifiers
Identifier
0280771
Identifier State
MA
Identifier Issuer
MASS HEALTH
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/11/2008
Provider Address
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