Pediatric Dental Associates of Southbury LLC
NPI #1629225875 in Southbury, Connecticut
Provider Information
- NPI Number
- 1629225875
- Entity Type
- Organization
- Organization Name
- Pediatric Dental Associates of Southbury LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 1 POMPERAUG OFFICE PARK
- Address 2
- SUITE 206
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-2295
- Phone
- (203) 264-1497
Authorized Official
- Name
- MS. MARGUERITE C GILLETTE
- Title
- OFFICE MANAGER
- Phone
- (203) 264-1497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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