| Gorgeous Smiles Southington | |
|
775 Queen St Southington CT 06489-1531 | |
| (860) 965-5995 | |
| Not Available |
| Full Name | Gorgeous Smiles Southington |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 775 Queen St, Southington, Connecticut |
| Authorized Official Name and Position | Raymond Joseph Belisle (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8609783294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorgeous Smiles Southington 775 Queen St Southington CT 06489-1531 Ph: (860) 965-5995 | Gorgeous Smiles Southington 775 Queen St Southington CT 06489-1531 Ph: (860) 965-5995 |
| NPI Number | 1831966936 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831966936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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