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Organization
SOUTHPORT SMILES DENTISTRY, P.C.
Active
Organization
SOUTHPORT SMILES DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVYN SIN-CHUN YEOH DDS (PRESIDENT)
(203) 319-1300
Entity
Organization
Contact information
Practice address
8 JOHN ST, SOUTHPORT, CT 06890-1437
(203) 319-1300
(203) 319-0893
Mailing address
8 JOHN ST, SOUTHPORT, CT 06890-1437
(203) 319-1300
(203) 319-0893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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