Pediatric Dentistry, P.c.
NPI #1396898847 in New Britain, Connecticut
Provider Information
- NPI Number
- 1396898847
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry, P.c.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1 LAKE ST
- Address 2
- BUILDING B
- City
- New Britain
- State
- Connecticut
- ZIP Code
- 06052-1396
- Phone
- (860) 224-2419
Authorized Official
- Name
- DR. WALTER FRED THAL, D.D.S.
- Title
- PRESIDENT
- Phone
- (860) 224-2419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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