| NPI | 1831966936 |
|---|---|
| Doing Business As | GORGEOUS SMILES SOUTHINGTON |
| Former Legal Business Name | SAMREEN, LLC |
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH BELISLE Chief Operating Officer 860-978-3294 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-01-09 |