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Organization

STONINGTON DENTAL ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMANDA KIRWIN (MANAGER)
(401) 578-0274
Entity
Organization

Contact information

Practice address
20 S ANGUILLA RD, PAWCATUCK, CT 06379-1447
(860) 599-2505
Mailing address
20 S ANGUILLA RD, PAWCATUCK, CT 06379-1447

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12125
CT

Other

Enumeration date
04/18/2018
Last updated
10/30/2019
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