42 North Dental Care Pllc
NPI #1205425824 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1205425824
- Entity Type
- Organization
- Organization Name
- 42 North Dental Care Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 42 NORTH DENTAL CARE PLLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 18, 2021
- Last Updated
- Jun 21, 2021
Practice Location
- Address
- 1671 MAIN ST
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226-1127
- Phone
- (860) 456-3153
Authorized Official
- Name
- DR. MICHAEL ANGELO SCIALABBA, DDS
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (561) 512-2709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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