Connecticut Dental Groups
NPI #1548339864 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1548339864
- Entity Type
- Organization
- Organization Name
- Connecticut Dental Groups
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1671 W MAIN ST
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226
- Phone
- (860) 456-3153
Authorized Official
- Name
- MS. NICOLINA SOUCY
- Title
- GENERAL MANAGER
- Phone
- (860) 456-3153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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