Organization
SMILE AND SHINE WATERBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NUNEZ (OFFICE MANAGER)
(203) 527-3375
Entity
Organization
Contact information
Practice address
158 MANOR AVE UNIT 1, WATERBURY, CT 06705-1206
(203) 527-3375
Mailing address
158 MANOR AVE UNIT 1, WATERBURY, CT 06705-1206
(203) 527-3375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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