Bloomfield Family Dental PC
NPI #1104162890 in Bloomfield, Connecticut
Provider Information
- NPI Number
- 1104162890
- Entity Type
- Organization
- Organization Name
- Bloomfield Family Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 27, 2012
- Last Updated
- Mar 7, 2016
Practice Location
- Address
- 2 WINTONBURY MALL
- Address 2
- #5
- City
- Bloomfield
- State
- Connecticut
- ZIP Code
- 06002-2466
- Phone
- (860) 656-6941
Authorized Official
- Name
- DR. SHARI MATHEW
- Title
- GENERAL DENTIST
- Phone
- (860) 656-6941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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