Organization
WE CREATE SMILES II, LLC
Active
Other names
Laura A Miller, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANN MILLER COZEAN DDS (OWNER)
(203) 245-9607
Entity
Organization
Contact information
Practice address
80 S MAIN ST, UNIT 203, MIDDLETOWN, CT 06457-3648
(860) 346-6872
(860) 346-6879
Mailing address
80 S MAIN ST, UNIT 203, MIDDLETOWN, CT 06457-3648
(860) 346-6872
(860) 346-6879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
007660
CT
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002076603
—
CT
Enumeration date
04/13/2015
Last updated
04/13/2015
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