Terryville Family Dental, LLC
NPI #1831645167 in Terryville, Connecticut
Provider Information
- NPI Number
- 1831645167
- Entity Type
- Organization
- Organization Name
- Terryville Family Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 28, 2016
- Last Updated
- Aug 28, 2016
Practice Location
- Address
- 14 MAPLE ST
- City
- Terryville
- State
- Connecticut
- ZIP Code
- 06786-5220
- Phone
- (860) 853-3582
Authorized Official
- Name
- KOSHA SHAH, DDS
- Title
- OWNER
- Phone
- (860) 583-3582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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