Revitalizing Smiles, LLC
NPI #1588058077 in Fairfield, Connecticut
Provider Information
- NPI Number
- 1588058077
- Entity Type
- Organization
- Organization Name
- Revitalizing Smiles, LLC
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Mar 24, 2015
- Last Updated
- Mar 24, 2015
Practice Location
- Address
- 2226 BLACK ROCK TPKE
- City
- Fairfield
- State
- Connecticut
- ZIP Code
- 06825-3240
- Phone
- (203) 332-9049
Authorized Official
- Name
- JUDITH HORBLITT
- Title
- MANAGER
- Phone
- (203) 332-9049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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| DR. Paul Dengelegi, DMD |  AI Deep Dive |
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|---|---|
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