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Organization
ELMWOOD AND MAIN DENTISTRY LLC
Active
Organization
ELMWOOD AND MAIN DENTISTRY LLC
Active
Other names
Harborview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK CHENET DDS (OWNER DENTIST)
(321) 591-4571
Entity
Organization
Contact information
Practice address
105 MAIN ST UNIT 1, OLD SAYBROOK, CT 06475-2393
(321) 591-4571
Mailing address
105 MAIN ST STE A, OLD SAYBROOK, CT 06475-2393
(860) 388-9774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
04/07/2026
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