Organization
DANBURY PUBLIC SCHOOL
Active
Other names
danbury public school dental program
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DOAN (DENTAL SERVICES COORDINATOR)
(203) 790-2812
Entity
Organization
Contact information
Practice address
63 BEAVER BROOK RD, DANBURY, CT 06810-6211
(203) 790-2812
Mailing address
63 BEAVER BROOK RD, DANBURY, CT 06810-6211
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
8431
CT
1223D0001X
Public Health Dentistry
9322
CT
1223D0001X
Public Health Dentistry
9825
CT
124Q00000X
Dental Hygienist
002145
CT
124Q00000X
Dental Hygienist
004700
CT
124Q00000X
Dental Hygienist
005986
CT
Other
Enumeration date
10/01/2007
Last updated
09/28/2011
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