Bristol City Health Dept Dental Clinic
NPI #1093891806 in Bristol, Connecticut
Provider Information
- NPI Number
- 1093891806
- Entity Type
- Organization
- Organization Name
- Bristol City Health Dept Dental Clinic
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 205 PIEDMONT AVE
- City
- Bristol
- State
- Connecticut
- ZIP Code
- 24201
- Phone
- (276) 642-7335
Authorized Official
- Name
- MRS. ANNA H STEVENS
- Title
- BUSINESS MANAGER
- Phone
- (276) 781-7450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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