Northeast Dental of Connecticut,pc

NPI #1619374881 in Shelton, Connecticut

Provider Information

NPI Number: 1619374881
Entity Type: Organization
Organization Name: Northeast Dental of Connecticut,pc
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2014
Last Updated: Dec 3, 2014

Practice Location

Address: 534 SHELTON AVE
City: Shelton
State: Connecticut
ZIP Code: 06484-2804
Phone: (732) 610-8265

Authorized Official

Name: VIRGINIA WICKE
Title: COO
Phone: (732) 610-8265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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