Compassion Dental 06032 LLC
NPI #1417200932 in Farmington, Connecticut
Provider Information
- NPI Number
- 1417200932
- Entity Type
- Organization
- Organization Name
- Compassion Dental 06032 LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 22, 2012
- Last Updated
- Jan 30, 2023
Practice Location
- Address
- 218 MAIN STREET
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06032-3623
- Phone
- (860) 470-3660
Authorized Official
- Name
- DR. JENNIFER A DIEDERICH, DMD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (860) 470-3660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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