Prospect Family Dental, LLC
NPI #1750427225 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1750427225
- Entity Type
- Organization
- Organization Name
- Prospect Family Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2457 E MAIN ST
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06705-2685
- Phone
- (203) 755-2744
Authorized Official
- Name
- NANCY MAZZINI
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (203) 755-2744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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