NPI | 1942085873 |
---|---|
Former Legal Business Name | WILLIMANTIC SMILES |
Entity Type | Organization |
Authorized Contact | AMANDEEP SINGH Dentist/Owner 347-744-5821 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-08-29 |
Last Update Date | 2023-09-05 |