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Organization

SMILE RITE DENTAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NISHIT R MODI DMD (OWNER)
(860) 329-6539
Entity
Organization

Contact information

Practice address
750 QUEEN ST UNIT 2, SOUTHINGTON, CT 06489-1505
(860) 863-5831
Mailing address
685 QUEEN ST UNIT 3, SOUTHINGTON, CT 06489-1547

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry

Other

Enumeration date
09/28/2017
Last updated
02/11/2019
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