| Dental Smiles Of Orange Llc | |
|
109 Boston Post Rd Orange CT 06477-3235 | |
| (203) 553-9500 | |
| Not Available |
| Full Name | Dental Smiles Of Orange Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 109 Boston Post Rd, Orange, Connecticut |
| Authorized Official Name and Position | Irshad Mohammed (OWNER) |
| Authorized Official Contact | 2035539500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Smiles Of Orange Llc 109 Boston Post Rd Orange CT 06477-3235 Ph: (203) 553-9500 | Dental Smiles Of Orange Llc 109 Boston Post Rd Orange CT 06477-3235 Ph: (203) 553-9500 |
| NPI Number | 1053894261 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 10/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053894261 | NPI | - | NPPES |
| 1376733139 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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