Organization
KIEVIT DENTAL, PLLC
Active
Other names
Beautiful Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KIEVIT DMD (OWNER)
(860) 748-5256
Entity
Organization
Contact information
Practice address
901 FARMINGTON AVE STE 201, WEST HARTFORD, CT 06119-1418
(860) 232-4511
Mailing address
901 FARMINGTON AVE STE 201, WEST HARTFORD, CT 06119-1418
(860) 232-4511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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