| Ismile Orthodonticsof Llc | |
|
2417 E Main St Bridgeport CT 06610-1802 | |
| (475) 282-4500 | |
| Not Available |
| Full Name | Ismile Orthodonticsof Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2417 E Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Alika Crew (ORTHODONTIST) |
| Authorized Official Contact | 4752824500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Orthodonticsof Llc 2417 E Main St Bridgeport CT 06610-1802 Ph: (475) 282-4500 | Ismile Orthodonticsof Llc 2417 E Main St Bridgeport CT 06610-1802 Ph: (475) 282-4500 |
| NPI Number | 1467886614 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467886614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 053689 (Connecticut) | Primary |
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