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Organization
SMILES ON THE GO RDH, LLC
Active
Organization
SMILES ON THE GO RDH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSA CLARK (OWNER)
(860) 380-0830
Entity
Organization
Contact information
Practice address
1 CHELSEA LN, EAST GRANBY, CT 06026-9634
(860) 380-0830
Mailing address
653 COLLEGE HWY, P.O. BOX 885, SOUTHWICK, MA 01077-0885
(860) 380-0830
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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