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Middletown Smiles, LLC

Clinic/Center, Dental in Middletown, CT. Organization (NPI-2).

NPI number1164086609
StatusActive
Last updated in NPPESApr 30, 2019

Details

NPI
1164086609
Entity type
Organization (NPI-2)
Legal business name
Middletown Smiles, LLC
Organization subpart
No
Enumeration date
Apr 30, 2019
Last updated
Apr 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

717 Newfield St
Middletown, CT 06457-1815

Phone 860-347-1227

Mailing address

717 Newfield St
Middletown, CT 06457-1815

Authorized official

Veerjinder Singh
Member
8603471227

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