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Organization
ADVANCE DENTAL CARE PC
Active
Organization
ADVANCE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYAKI GADDIPATI (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
69 S MAIN ST, WEST HARTFORD, CT 06107-2410
(860) 232-2000
Mailing address
69 S MAIN ST, WEST HARTFORD, CT 06107-2410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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