Organization
CONNECTICUT DENTAL PARTNERS, LLC
Active
Other names
CT Dental Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA BRUNELLE (EXECUTIVE DIRECTOR)
(203) 314-9493
Entity
Organization
Contact information
Practice address
240 POMEROY AVE, SUITE 205, MERIDEN, CT 06450-7170
(203) 314-9493
(203) 200-7953
Mailing address
240 POMEROY AVE, SUITE 205, MERIDEN, CT 06450-7170
(203) 314-9493
(203) 200-7953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011373
CT
124Q00000X
Dental Hygienist
003881
CT
Other
Enumeration date
06/16/2015
Last updated
04/21/2016
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