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Organization
FAMILY DENTISTRY OF WINDSOR PC
Active
Organization
FAMILY DENTISTRY OF WINDSOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DAVID LIPMAN D.M.D. (PRESIDENT)
(860) 688-4634
Entity
Organization
Contact information
Practice address
230 BROAD ST, WINDSOR, CT 06095-2925
(860) 688-4634
(860) 688-7824
Mailing address
230 BROAD ST, WINDSOR, CT 06095-2925
(860) 688-4634
(860) 688-7824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6517
CT
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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