Organization
AMAZING SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J WIENER DDS (OWNER)
(203) 889-0278
Entity
Organization
Contact information
Practice address
148 EAST AVE STE 1B, NORWALK, CT 06851-5727
(203) 939-1616
Mailing address
145 BOSTON POST RD, WEST HAVEN, CT 06516-2026
(203) 889-0278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CT
1223P0300X
Periodontics
—
CT
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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