Bright Smile Americadental Center
Dentist, General Practice in Bloomfield, CT. Organization (NPI-2).
NPI number1295009751
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1295009751
- Entity type
- Organization (NPI-2)
- Legal business name
- Bright Smile Americadental Center
- Organization subpart
- No
- Enumeration date
- Mar 1, 2012
- Last updated
- Jun 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7338 | CT | Yes |
Practice location
719 Cottage Grove RdBloomfield, CT 06002-3040
Phone 860-242-5005 · Fax 860-242-9998
Mailing address
719 Cottage Grove RdBloomfield, CT 06002-3040
Phone 860-242-5005 · Fax 860-242-9998
Authorized official
Robert Harris
Owner
8602425005
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