Organization
ISMILE ORTHODONTICSOF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIKA CREW (ORTHODONTIST)
(475) 282-4500
Entity
Organization
Contact information
Practice address
2417 E MAIN ST, BRIDGEPORT, CT 06610-1802
(475) 282-4500
Mailing address
2417 E MAIN ST, BRIDGEPORT, CT 06610-1802
(475) 282-4500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
053689
CT
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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