Organization
SMILE HAVEN DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELO CROMER MALDONADO D.M.D. (OWNER)
(860) 877-6983
Entity
Organization
Contact information
Practice address
195 MAIN ST, TERRYVILLE, CT 06786-6219
(860) 584-2051
Mailing address
195 MAIN ST, TERRYVILLE, CT 06786-6219
(860) 584-2051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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