Organization
TSM1 LLC
Active
Other names
Kid Smile Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN KEST DMD (OWNER)
(412) 400-3510
Entity
Organization
Contact information
Practice address
318 OXFORD RD, OXFORD, CT 06478-1644
(203) 888-0811
(203) 888-1870
Mailing address
318 OXFORD RD, OXFORD, CT 06478-1644
(203) 888-0811
(203) 888-1870
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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