Signature Smiles, Llc | |
1540 Pleasant Valley Rd Ste G Manchester CT 06042-8760 | |
(860) 644-1095 | |
(860) 644-1118 |
Full Name | Signature Smiles, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1540 Pleasant Valley Rd Ste G, Manchester, Connecticut |
Authorized Official Name and Position | Puneet Rangi (LLC MEMBER) |
Authorized Official Contact | 9892778668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Signature Smiles, Llc 1540 Pleasant Valley Rd Ste G Manchester CT 06042-8760 Ph: (860) 644-1095 | Signature Smiles, Llc 1540 Pleasant Valley Rd Ste G Manchester CT 06042-8760 Ph: (860) 644-1095 |
NPI Number | 1184093197 |
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Provider Enumeration Date | 09/20/2015 |
Last Update Date | 10/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184093197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 011418 (Connecticut) | Primary |
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