Organization
MIDDLETOWN DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GLETZAKOS DMD (OWNER)
(860) 346-3081
Entity
Organization
Contact information
Practice address
547 MAIN STREET, MIDDLETOWN, CT 06457-2806
(860) 346-3081
(860) 638-1123
Mailing address
547 MAIN STREET, MIDDLETOWN, CT 06457-2806
(860) 346-3081
(860) 638-1123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008252
CT
Other
Enumeration date
10/19/2006
Last updated
09/28/2013
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