| NPI | 1700632064 |
|---|---|
| Doing Business As | COCHITUATE SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | HUGO C CAMPOS President 860-995-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |