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Organization
SMILES OF WATERBURY, LLC
Active
Organization
SMILES OF WATERBURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA SANTA MARIA (BUSINESS/FINANCE MANAGER)
(860) 997-0569
Entity
Organization
Contact information
Practice address
1127 W MAIN ST, WATERBURY, CT 06708-2764
(203) 527-4614
(203) 527-4814
Mailing address
1127 W MAIN ST, WATERBURY, CT 06708-2764
(203) 527-4614
(203) 527-4814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
02/06/2014
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