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Organization
HOUSATONIC VALLEY DENTAL CARE
Active
Organization
HOUSATONIC VALLEY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DANNON (PRESIDENT)
(860) 559-2664
Entity
Organization
Contact information
Practice address
60 CHURCH STREET, CANAAN, CT 06018
(860) 559-2664
Mailing address
60 CHURCH ST, CANAAN, CT 06018-2481
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10357
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032193
—
CT
Enumeration date
06/25/2014
Last updated
06/25/2014
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