Dynobite Smiles
NPI #1447575055 in Middlebury, Connecticut
Provider Information
- NPI Number
- 1447575055
- Entity Type
- Organization
- Organization Name
- Dynobite Smiles
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 7, 2010
- Last Updated
- Apr 7, 2010
Practice Location
- Address
- 765 STRAITS TPKE
- Address 2
- DYNOBITE SMILES
- City
- Middlebury
- State
- Connecticut
- ZIP Code
- 06762-2853
- Phone
- (203) 577-3500
Authorized Official
- Name
- DR. RAVEN ROBERTS HENDERSON, DDS
- Title
- PRESIDENT
- Phone
- (203) 577-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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