Organization
RAYNOR-CANO
Active
Other names
Storrs Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JAMES RAYNOR DMD (DENTIST)
(860) 429-6406
Entity
Organization
Contact information
Practice address
1022 STORRS RD, STORRS MANSFIELD, CT 06268-2639
(860) 429-6406
Mailing address
1022 STORRS RD, STORRS MANSFIELD, CT 06268-2639
(860) 429-6406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
09270
CT
1223G0001X
General Practice Dentistry
Primary
4647
CT
1223G0001X
General Practice Dentistry
6141
CT
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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