| 12 Month Smiles Llc | |
|
86 Tunxis Hill Rd Fairfield CT 06825-4832 | |
| (203) 400-1267 | |
| Not Available |
| Full Name | 12 Month Smiles Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 86 Tunxis Hill Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Tarvinder Pal Singh Arora (OWNER) |
| Authorized Official Contact | 2034001267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 12 Month Smiles Llc 86 Tunxis Hill Rd Fairfield CT 06825-4832 Ph: (203) 400-1267 | 12 Month Smiles Llc 86 Tunxis Hill Rd Fairfield CT 06825-4832 Ph: (203) 400-1267 |
| NPI Number | 1033541073 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 08/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033541073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 009682 (Connecticut) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 009682 (Connecticut) | Primary |
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