Smile Line PC
NPI #1457873895 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1457873895
- Entity Type
- Organization
- Organization Name
- Smile Line PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 7, 2017
- Last Updated
- Aug 1, 2017
Practice Location
- Address
- 1073 RIVERDALE ST
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089-4614
- Phone
- (413) 285-7114
Authorized Official
- Name
- DR. VIJAY GADDAM, DMD
- Title
- OWNER
- Phone
- (419) 450-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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