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1184328551
DIVINE SMILES PC
NEW HAVEN, CT
NPI
1184328551
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Entity Type
Organization
Authorized Contact
SHANDE ADINYAGUEV
Owner
917-428-4543
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-03-29
Last Update Date
2023-11-07
Business Address
DIVINE SMILES PC
1574 CHAPEL ST
NEW HAVEN, CT 06511-4205
Phone number: 917-428-4543
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Mailing Address
DIVINE SMILES PC
1574 CHAPEL ST
NEW HAVEN, CT 06511-4205
Phone number: 203-865-1480
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