Middletown Dental Associates LLC
NPI #1073695466 in Middletown, Connecticut
Provider Information
- NPI Number
- 1073695466
- Entity Type
- Organization
- Organization Name
- Middletown Dental Associates LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Sep 28, 2013
Practice Location
- Address
- 547 MAIN STREET
- City
- Middletown
- State
- Connecticut
- ZIP Code
- 06457-2806
- Phone
- (860) 346-3081
Authorized Official
- Name
- PETER GLETZAKOS, DMD
- Title
- OWNER
- Phone
- (860) 346-3081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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