Organization
DYNAMIC SMILES ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEDJO PALO DMD (OWNER ORTHODONTIST)
(203) 695-2548
Entity
Organization
Contact information
Practice address
315 CENTER ROCK GRN STE 10, OXFORD, CT 06478-3174
(203) 828-1088
Mailing address
315 CENTER ROCK GRN STE 10, OXFORD, CT 06478-3174
(203) 828-1088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
06/13/2024
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