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Organization

GORGEOUS SMILES DENTAL, PC

Active
Other names
First Line Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND BELISLE (COO)
(860) 978-3294
Entity
Organization

Contact information

Practice address
238C TOLLAND TPKE, MANCHESTER, CT 06042-5702
(860) 259-4039
Mailing address
238C TOLLAND TPKE, MANCHESTER, CT 06042-5702
(860) 259-4039

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/17/2023
Last updated
04/17/2023
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