Organization
THALODY FAMILY DENTISTRY LLC
Active
Other names
Portland Smile Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P THALODY DDS (OWNER)
(860) 342-2176
Entity
Organization
Contact information
Practice address
260 MAIN ST, PORTLAND, CT 06480
(860) 342-2176
(860) 342-2177
Mailing address
260 MAIN ST, PORTLAND, CT 06480-1859
(860) 342-2176
(860) 342-2177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
004615
CT
122300000X
Dentist
Primary
008931
CT
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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