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Organization

FOUR TOWN DENTAL CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENU M CHIMMIRI DDS (OWNER/ MEMBER)
(860) 749-6088
Entity
Organization

Contact information

Practice address
24 BATTLE ST, SOMERS, CT 06071-1629
(860) 749-6088
Mailing address
24 BATTLE ST, SOMERS, CT 06071-1629
(860) 749-6088

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9368
CT

Other

Enumeration date
08/25/2014
Last updated
08/25/2014
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