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Organization

ADVANTAGE DENTAL GROUP, LLC

Active
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Organization

ADVANTAGE DENTAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN R VAN LEW (OFFICE MANAGER)
(860) 691-0025
Entity
Organization

Contact information

Practice address
339 FLANDERS RD, SUITE 105, EAST LYME, CT 06333
(860) 691-0025
Mailing address
339 FLANDERS RD, SUITE 105, EAST LYME, CT 06333
(860) 691-0025

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7928
CT

Other

Enumeration date
05/04/2007
Last updated
09/25/2009
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