Advantage Dental Group, LLC
NPI #1568674331 in East Lyme, Connecticut
Provider Information
- NPI Number
- 1568674331
- Entity Type
- Organization
- Organization Name
- Advantage Dental Group, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 4, 2007
- Last Updated
- Sep 25, 2009
Practice Location
- Address
- 339 FLANDERS RD
- Address 2
- SUITE 105
- City
- East Lyme
- State
- Connecticut
- ZIP Code
- 06333
- Phone
- (860) 691-0025
Authorized Official
- Name
- ERIN R VAN LEW
- Title
- OFFICE MANAGER
- Phone
- (860) 691-0025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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