Organization
CROMWELL FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN BREAULT D.M.D. (PRESIDENT)
(860) 635-6445
Entity
Organization
Contact information
Practice address
136 BERLIN RD, CROMWELL, CT 06416-2627
(860) 635-6445
(860) 635-8595
Mailing address
136 BERLIN RD, CROMWELL, CT 06416-2627
(860) 635-6445
(860) 635-8595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8633
CT
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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