Organization
HARTFORD SMILES CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHIT MODI (MEMBER OF PLLC)
(860) 329-6539
Entity
Organization
Contact information
Practice address
330 MAIN ST, HARTFORD, CT 06106-1860
(860) 899-2804
Mailing address
685 QUEEN ST STE 3, SOUTHINGTON, CT 06489-1547
(860) 329-6539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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