| Ismile Orthodontics Of Waterbury Llc | |
|
464 Reidville Drive, Suite A4 Waterbury CT 06705-2650 | |
| (203) 601-6423 | |
| (203) 575-8399 |
| Full Name | Ismile Orthodontics Of Waterbury Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 464 Reidville Drive, Suite A4, Waterbury, Connecticut |
| Authorized Official Name and Position | Efstathios Giannoutsos (OWNER) |
| Authorized Official Contact | 9175189128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Orthodontics Of Waterbury Llc 464 Reidville Drive, Suite A4 Waterbury CT 06705-2650 Ph: (203) 601-6423 | Ismile Orthodontics Of Waterbury Llc 464 Reidville Drive, Suite A4 Waterbury CT 06705-2650 Ph: (203) 601-6423 |
| NPI Number | 1326720194 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326720194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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