| Amazing Smiles Llc | |
|
148 East Ave Ste 1b Norwalk CT 06851-5727 | |
| (203) 939-1616 | |
| Not Available |
| Full Name | Amazing Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 148 East Ave Ste 1b, Norwalk, Connecticut |
| Authorized Official Name and Position | Michael J Wiener (OWNER) |
| Authorized Official Contact | 2038890278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Smiles Llc 145 Boston Post Rd West Haven CT 06516-2026 Ph: (203) 889-0278 | Amazing Smiles Llc 148 East Ave Ste 1b Norwalk CT 06851-5727 Ph: (203) 939-1616 |
| NPI Number | 1487900528 |
|---|---|
| Provider Enumeration Date | 07/26/2012 |
| Last Update Date | 07/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487900528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Connecticut) | Primary |
| 1223P0300X | Dentist - Periodontics | (Connecticut) | Secondary |
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