Amazing Smiles LLC
Dentist, General Practice in Norwalk, CT. Organization (NPI-2).
NPI number1487900528
StatusActive
Last updated in NPPESJul 26, 2012
Details
- NPI
- 1487900528
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing Smiles LLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2012
- Last updated
- Jul 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | CT | Yes |
| 1223P0300X | Dentist, Periodontics | – | CT |
Practice location
148 East Ave Ste 1bNorwalk, CT 06851-5727
Phone 203-939-1616
Mailing address
145 Boston Post RdWest Haven, CT 06516-2026
Phone 203-889-0278
Authorized official
Michael J Wiener
Owner
2038890278
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