| Smiles On The Go Rdh, Llc | |
|
1 Chelsea Ln East Granby CT 06026-9634 | |
| (860) 380-0830 | |
| Not Available |
| Full Name | Smiles On The Go Rdh, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Chelsea Ln, East Granby, Connecticut |
| Authorized Official Name and Position | Rosa Clark (OWNER) |
| Authorized Official Contact | 8603800830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On The Go Rdh, Llc 653 College Hwy P.o. Box 885 Southwick MA 01077-0885 Ph: (860) 380-0830 | Smiles On The Go Rdh, Llc 1 Chelsea Ln East Granby CT 06026-9634 Ph: (860) 380-0830 |
| NPI Number | 1013472414 |
|---|---|
| Provider Enumeration Date | 02/10/2019 |
| Last Update Date | 02/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013472414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |