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Organization
FAMILY & PREVENTIVE DENTISTRY, PC
Active
Organization
FAMILY & PREVENTIVE DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B. MARSHALL DMD (PARTNER)
(203) 263-5575
Entity
Organization
Contact information
Practice address
357 MAIN ST S, WOODBURY, CT 06798-3408
(203) 263-5575
Mailing address
357 MAIN ST S, PO BOX 593, WOODBURY, CT 06798-3408
(203) 263-5575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7617
CT
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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