Organization
SMILE CENTER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEENISH ORR DMD (DENTIST)
(860) 584-8444
Entity
Organization
Contact information
Practice address
47 MAIN ST, TERRYVILLE, CT 06786-5102
(860) 584-8444
Mailing address
47 MAIN ST, TERRYVILLE, CT 06786-5102
(860) 584-8444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
010960
CT
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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