Organization
MANCHESTER SMILES FAMILY AND IMPLANT DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMTA VIPIN PATEL DDS (ONWER)
(860) 861-3531
Entity
Organization
Contact information
Practice address
168 SPENCER ST, MANCHESTER, CT 06040-4616
(860) 649-2796
Mailing address
168 SPENCER STREET, MANCHESTER, CT 06040
(860) 649-2796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CT
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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