Big Smiles Connecticut Pc

NPI 1063646248 - Dentist - 122300000X

NPI Details
NPI 1063646248
Enumeration Date 05/04/2009
Last Updated 05/04/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SOLOMON K. SOLOMON
Position DENTAL DIRECTOR
Phone (888) 833-8441
Fax (888) 330-4331
Practice Location
4 RESEARCH DR
SUITE 402
SHELTON CT, 06484, US
Phone (888) 833-8441
Fax (888) 330-4331
Business Location
33533 W 12 MILE RD
SUITE 150
FARMINGTON HILLS MI, 48331-3354, US
Phone (888) 833-8441
Fax (888) 330-4331
Toxanomy
Taxonomy Code 122300000X
License State Connecticut
License Number 010008
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According to our database, Big Smiles Connecticut Pc NPI is 1063646248, taxonomy code is 122300000X and license number is 010008, license state is located at Connecticut. Big Smiles Connecticut Pc physically located at 4 Research Dr, Shelton CT, 06484. NPI Number 1033115704 has the healthcare provider type.

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1063646248 NPI number is provided on an as is basis without warranty of any kind. 1063646248 is maintained by the National Plan & Provider Enumeration System. The contents of Big Smiles Connecticut Pc are for informational purposes only.