Organization
CANDLEWOOD FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE R WALDRON DDS (MEMBER)
(203) 775-5533
Entity
Organization
Contact information
Practice address
940 FEDERAL RD, BROOKFIELD, CT 06804-1150
(203) 775-5533
(203) 775-5511
Mailing address
940 FEDERAL RD, BROOKFIELD, CT 06804-1150
(203) 775-5533
(203) 775-5511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
009332
CT
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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