Organization
GORGEOUS SMILES DENTAL SOUTHINGTON
Active
Parent organization
GORGEOUS SMILES SOUTHINGTON
Other names
Samreen, LLC, Gorgeous Smiles Southington
Organization subpart
Yes
Provider details
NPI number
Legal business name
GORGEOUS SMILES SOUTHINGTON
Authorized official
RAYMOND JOSEPH BELISLE COO (CHIEF OPERATING OFFICER)
(860) 978-3294
Entity
Organization
Contact information
Practice address
775 QUEEN ST, SOUTHINGTON, CT 06489-1531
(860) 965-5995
Mailing address
775 QUEEN ST, SOUTHINGTON, CT 06489-1531
(860) 965-5995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
01/09/2024
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