Smile by Design Hartford LLC

NPI #1477919058 in Hartford, Connecticut

Provider Information

NPI Number: 1477919058
Entity Type: Organization
Organization Name: Smile by Design Hartford LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 12, 2016
Last Updated: May 25, 2017

Practice Location

Address: 377 FRANKLIN AVE
City: Hartford
State: Connecticut
ZIP Code: 06114-2563
Phone: (860) 296-9910

Authorized Official

Name: SALEH AL KHARSA, DMD
Title: PRESIDENT
Phone: (860) 219-0933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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