Dynobite Smiles LLC
NPI #1487099172 in Middlebury, Connecticut
Provider Information
- NPI Number
- 1487099172
- Entity Type
- Organization
- Organization Name
- Dynobite Smiles LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 8, 2013
- Last Updated
- May 8, 2013
Practice Location
- Address
- 765 STRAITS TPKE
- City
- Middlebury
- State
- Connecticut
- ZIP Code
- 06762-2853
- Phone
- (203) 577-3500
Authorized Official
- Name
- MRS. RAVEN VANESSA HENDERSON, DDS
- Title
- OWNER/DENTIST
- Phone
- (203) 577-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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| Middlebury Smiles Pllc | |
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