Pristine Smile Dental Pllc
NPI #1316692106 in Manchester, Connecticut
Provider Information
- NPI Number
- 1316692106
- Entity Type
- Organization
- Organization Name
- Pristine Smile Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 20, 2022
- Last Updated
- Feb 20, 2022
Practice Location
- Address
- 599 MAIN ST STE 4
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-5156
- Phone
- (860) 647-1565
Authorized Official
- Name
- DR. JASON LEE HERNANDEZ, DMD
- Title
- DENTIST OWNER
- Phone
- (860) 990-1792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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