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General NPI Number Information
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NPI Number | 1801550629
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Entity Type | Organization
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Legal Business Name | ALL SMILES OF CONNECTICUT PLLC
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 2 CONCORDE WAY BLDG 1
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-1577
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Country | US
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Telephone | 860-623-3244
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Fax | 860-292-6300
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Provider Business Mailing Address
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Address Line | 2 CONCORDE WAY BLDG 1
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-1577
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Country | US
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Telephone | 860-623-3244
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Fax | 860-292-6300
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | SONALIKA RUNGTA
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Credential | DMD
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Telephone | 617-314-6490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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