Organization
I SMILE DENTAL STUDIO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE Y GAO DDS (OWNER)
(860) 749-0791
Entity
Organization
Contact information
Practice address
150 HAZARD AVE, ENFIELD, CT 06082-4575
(860) 749-0791
(860) 749-2189
Mailing address
150 HAZARD AVE, ENFIELD, CT 06082-4575
(860) 749-0791
(860) 749-2189
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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