Amazing Smile Family Dentistery

NPI 1154757185 - Dentist - 1223G0001X

NPI Details
NPI 1154757185
Enumeration Date 09/23/2013
Last Updated 09/23/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NAEEM A NAEEM
Position CEO
Phone (860) 282-9000
Fax (860) 282-9005
Practice Location
580 BURNSIDE AVE
SUITE# 6
EAST HARTFORD CT, 06108-3567, US
Phone (860) 282-9000
Fax (860) 282-9005
Business Location
580 BURNSIDE AVE
SUITE# 6
EAST HARTFORD CT, 06108-3567, US
Phone (860) 282-9000
Fax (860) 282-9005
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 009138
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According to our database, Amazing Smile Family Dentistery NPI is 1154757185, taxonomy code is 1223G0001X and license number is 009138, license state is located at Connecticut. Amazing Smile Family Dentistery physically located at 580 Burnside Ave, East Hartford CT, 06108-3567. NPI Number 1033115704 has the healthcare provider type.

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1154757185 NPI number is provided on an as is basis without warranty of any kind. 1154757185 is maintained by the National Plan & Provider Enumeration System. The contents of Amazing Smile Family Dentistery are for informational purposes only.