Clinton Family Dentistry, LLC

NPI #1730637703 in Clinton, Connecticut

Provider Information

NPI Number: 1730637703
Entity Type: Organization
Organization Name: Clinton Family Dentistry, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CLINTON FAMILY DENTISTRY, LLC
Primary Specialty: Dentist
Enumeration Date: Sep 19, 2016
Last Updated: Sep 19, 2016

Practice Location

Address: 145R E MAIN ST
City: Clinton
State: Connecticut
ZIP Code: 06413-2104
Phone: (860) 669-2700

Authorized Official

Name: RICHARD PANAGROSSI, DMD
Title: OWNER
Phone: (860) 669-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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