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Organization
BRISTOL CITY HEALTH DEPT DENTAL CLINIC
Active
Organization
BRISTOL CITY HEALTH DEPT DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA H STEVENS (BUSINESS MANAGER)
(276) 781-7450
Entity
Organization
Contact information
Practice address
205 PIEDMONT AVE, BRISTOL, CT 24201
(276) 642-7335
(276) 642-7347
Mailing address
205 PIEDMONT AVE, BRISTOL, CT 24201
(276) 642-7335
(276) 642-7347
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401003521
VA
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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