Organization
CANTON VALLEY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW KEEFE DMD (DENTIST/PARTNER)
(860) 693-0887
Entity
Organization
Contact information
Practice address
191 ALBANY TPKE, CANTON, CT 06019-2554
(860) 693-0887
(860) 693-1079
Mailing address
PO BOX 456, CANTON, CT 06019-0456
(860) 693-0887
(860) 693-1079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5137
CT
1223G0001X
General Practice Dentistry
8462
CT
1223G0001X
General Practice Dentistry
Primary
9636
CT
Other
Enumeration date
02/16/2009
Last updated
09/09/2021
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