Compassion Dental 06032 LLC

NPI #1225756125 in Farmington, Connecticut

Provider Information

NPI Number
1225756125
Entity Type
Organization
Organization Name
Compassion Dental 06032 LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 16, 2022
Last Updated
Aug 16, 2022

Practice Location

Address
218 MAIN ST
ZIP Code
06032-2959
Phone
(860) 470-3660

Authorized Official

Name
DR. JENNIFER A DIEDERICH, DDS
Title
AUTHORIZED OFFICIAL
Phone
(860) 645-0111

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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