Manchester Smiles Family and Implant Dentistry LLC

NPI #1174929970 in Manchester, Connecticut

Provider Information

NPI Number: 1174929970
Entity Type: Organization
Organization Name: Manchester Smiles Family and Implant Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 168 SPENCER ST
City: Manchester
State: Connecticut
ZIP Code: 06040-4616
Phone: (860) 649-2796

Authorized Official

Name: DR. MAMTA VIPIN PATEL, DDS
Title: ONWER
Phone: (860) 861-3531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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