| 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 |