Resolute Bpw, LLC
NPI #1801446869 in Waterford, Connecticut
Provider Information
- NPI Number
- 1801446869
- Entity Type
- Organization
- Organization Name
- Resolute Bpw, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 12, 2019
- Last Updated
- Sep 12, 2019
Practice Location
- Address
- 256 BOSTON POST RD
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-2054
- Phone
- (860) 443-2428
Authorized Official
- Name
- GREGORY A TOBACK, DMD, MS
- Title
- OWNER
- Phone
- (860) 443-2428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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