East Hampton Family Dental
NPI #1609311604 in East Hampton, Connecticut
Provider Information
- NPI Number
- 1609311604
- Entity Type
- Organization
- Organization Name
- East Hampton Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 29, 2016
- Last Updated
- Dec 29, 2016
Practice Location
- Address
- 41 W HIGH ST
- City
- East Hampton
- State
- Connecticut
- ZIP Code
- 06424-1024
- Phone
- (860) 267-9904
Authorized Official
- Name
- VIJAYALAKSHMI CANAKALAVENKATA, DMD
- Title
- OWNER
- Phone
- (860) 267-9904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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