Organization
ADVANCE DENTAL UNIONVILLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYAKI GADDIPATI (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
15 NEW BRITAIN AVE, UNIONVILLE, CT 06085-1277
(860) 673-2455
Mailing address
15 NEW BRITAIN AVE, UNIONVILLE, CT 06085-1277
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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