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Organization
BRISTOL FAMILY DENTAL, PC
Active
Organization
BRISTOL FAMILY DENTAL, PC
Active
Other names
Next Generation Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS KATKOWSKI DMD (PRESIDENT)
(860) 589-2794
Entity
Organization
Contact information
Practice address
4 MORRIS AVE, BRISTOL, CT 06010-4448
(860) 589-2794
(860) 314-0799
Mailing address
4 MORRIS AVE, BRISTOL, CT 06010-4448
(860) 589-2794
(860) 314-0799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010490
CT
Other
Enumeration date
05/06/2014
Last updated
05/21/2014
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