Organization
A WINNING SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN LYNN KARANDISECKY D.D.S (DOCTOR)
(203) 372-3626
Entity
Organization
Contact information
Practice address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 372-3626
(203) 372-4034
Mailing address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 372-3626
(203) 372-4034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006464CT
CT
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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