Newington Dentistry And Braces INC
Dentist in Newington, CT. Organization (NPI-2).
NPI number1982179990
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1982179990
- Entity type
- Organization (NPI-2)
- Legal business name
- Newington Dentistry And Braces INC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2018
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
2985 Berlin Tpke Unit 7aNewington, CT 06111-4601
Phone 860-748-4888 · Fax 860-748-4887
Mailing address
5 Mount Royal Ave Ste 300Marlborough, MA 01752-1900
Phone 508-460-0632
Authorized official
Joanne Tavano
Cfo
9785801524
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