Organization · Type 2 NPI
Boston Brightsmile LLC
Dental Clinic/Center · Wakefield, MA
NPI number
1104615053
Active
Practice location
15 W Water St
Wakefield, MA 01880-2926
Mailing address
14 Marion St Apt 24
Brookline, MA 02446-4430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104615053
Boston Brightsmile LLC's National Provider Identifier is 1104615053, issued on May 6, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wakefield, MA. The record was last updated on May 6, 2025.