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Organization

ENDODONTIC SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH MAINVILLE (OFFICE MANAGER)
(860) 404-5494
Entity
Organization

Contact information

Practice address
19 ENSIGN DR, AVON, CT 06001-3705
(860) 404-5494
Mailing address
19 ENSIGN DR, AVON, CT 06001-3705

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7753
CT

Other

Enumeration date
05/30/2017
Last updated
05/30/2017
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