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Organization
MSDA PLLC
Active
Organization
MSDA PLLC
Active
Other names
Market Square Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA JANINE ROBB DDS (OWNER)
(860) 667-0818
Entity
Organization
Contact information
Practice address
51 MARKET SQ, NEWINGTON, CT 06111-2912
(860) 667-0818
Mailing address
51 MARKET SQ, NEWINGTON, CT 06111-2912
(860) 667-0818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497041149
INDIVIDUAL NPI
CT
Enumeration date
10/26/2022
Last updated
10/26/2022
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