Simsbury Pediatric & Adolescent Dentistry, LLC
NPI #1922122332 in Weatogue, Connecticut
Provider Information
- NPI Number
- 1922122332
- Entity Type
- Organization
- Organization Name
- Simsbury Pediatric & Adolescent Dentistry, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 381 HOPMEADOW ST
- Address 2
- SUITE 202
- City
- Weatogue
- State
- Connecticut
- ZIP Code
- 06089-9692
- Phone
- (860) 658-7548
Authorized Official
- Name
- DR. MARYAM AZADPUR
- Title
- DENTIST, OWNER
- Phone
- (860) 658-7548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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