Connecticut Family Dentistry, LLC
NPI #1770814956 in Manchester, Connecticut
Provider Information
- NPI Number
- 1770814956
- Entity Type
- Organization
- Organization Name
- Connecticut Family Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 27, 2010
- Last Updated
- Jan 27, 2010
Practice Location
- Address
- 945 MAIN ST
- Address 2
- SUITE 101
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-6064
- Phone
- (860) 646-1704
Authorized Official
- Name
- MRS. KIM L WARNER
- Title
- OFFICE MANAGER
- Phone
- (860) 646-1704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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