Organization
SMILE BY DESIGN WINDSOR LLC
Active
Other names
Kids Dental Care Windsor LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SALEH AKBAR (OPERATIONS MANAGER)
(860) 219-0932
Entity
Organization
Contact information
Practice address
697 POQUONOCK AVENUE, WINDSOR, CT 06010-2259
(860) 219-0932
(860) 219-1482
Mailing address
P.O BOX 566, WINDSOR, CT 06010-2259
(860) 219-0932
(860) 219-1482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
CT
1223D0004X
Dental Anesthesiology
006903
CT
1223D0004X
Dental Anesthesiology
—
CT
1223G0001X
General Practice Dentistry
—
CT
1223P0221X
Pediatric Dentistry
Primary
P07893
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11249
CT
Other
Enumeration date
03/26/2013
Last updated
07/21/2022
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