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Organization
TRIBURY DENTAL, LLC
Active
Organization
TRIBURY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE H MARIANO DMD (OWNER)
(203) 574-1725
Entity
Organization
Contact information
Practice address
714 CHASE PKWY, WATERBURY, CT 06708-3012
(203) 574-1725
Mailing address
20 WOODSIDE AVE, MIDDLEBURY, CT 06762-2857
(203) 574-1725
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10890
CT
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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