Pediatric Dental Assoc P.c.
NPI #1851329510 in Manchester, Connecticut
Provider Information
- NPI Number
- 1851329510
- Entity Type
- Organization
- Organization Name
- Pediatric Dental Assoc P.c.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Jun 11, 2013
Practice Location
- Address
- 192 MAIN ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-3581
- Phone
- (860) 649-4655
Authorized Official
- Name
- MS. EILEEN M. PERKINS
- Title
- OFFICE MANAGER
- Phone
- (860) 649-4655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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