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Organization
SMILE HAVEN DENTAL CENTER LLC
Active
Organization
SMILE HAVEN DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELO CROMER MALDONADO D.M.D. (OWNER)
(860) 877-6983
Entity
Organization
Contact information
Practice address
195 MAIN ST, TERRYVILLE, CT 06786-6219
(860) 584-2051
Mailing address
195 MAIN ST, TERRYVILLE, CT 06786-6219
(860) 584-2051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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