Organization
NEW SMILE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHFAQ AHMAD (DENTIST)
(304) 216-6234
Entity
Organization
Contact information
Practice address
890 ETHAN ALLEN HWY, RIDGEFIELD, CT 06877-2843
(304) 216-6234
Mailing address
890 ETHAN ALLEN HWY, RIDGEFIELD, CT 06877-2843
(304) 216-6234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10476
CT
1223G0001X
General Practice Dentistry
Primary
10476
CT
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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