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Organization

ELITE SMILE LLC

Active
Other names
State Street Dental
Organization subpart
No

Provider details

NPI number
Authorized official
SUNIT JAIN DDS (OWNER/ PARTNER)
(716) 939-4818
Entity
Organization

Contact information

Practice address
950 STATE ST, SPRINGFIELD, MA 01109-3145
(716) 939-4818
Mailing address
25 BREAKNECK HILL RD, SOUTHBOROUGH, MA 01772-1806
(716) 939-4818

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/08/2024
Last updated
11/08/2024
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