Elite Smiles Dental Group LLC
NPI #1598379851 in Burlington, Connecticut
Provider Information
- NPI Number
- 1598379851
- Entity Type
- Organization
- Organization Name
- Elite Smiles Dental Group LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Sep 3, 2020
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 9 COVEY RD
- City
- Burlington
- State
- Connecticut
- ZIP Code
- 06013-1720
- Phone
- (850) 524-5194
Authorized Official
- Name
- ANATOLIY RAVIN
- Title
- OWNER
- Phone
- (860) 524-5194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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