Resolute Cross Road LLC
NPI #1730644212 in Waterford, Connecticut
Provider Information
- NPI Number
- 1730644212
- Entity Type
- Organization
- Organization Name
- Resolute Cross Road LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Feb 8, 2019
Practice Location
- Address
- 112 CROSS RD
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-1204
- Phone
- (860) 447-1787
Authorized Official
- Name
- DR. GREGORY A TOBACK, DMD, MS
- Title
- OWNER
- Phone
- (860) 443-2428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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