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1588058077
REVITALIZING SMILES, LLC
FAIRFIELD, CT
NPI
1588058077
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Entity Type
Organization
Authorized Contact
JUDITH HORBLITT
Manager
203-332-9049
Organization Subpart ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: CT 11048)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
REVITALIZING SMILES, LLC
2226 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3240
Phone number: 203-332-9049
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Mailing Address
REVITALIZING SMILES, LLC
2226 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3240
Phone number: 203-332-9049
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