Organization
PORTLAND DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GLETZAKOS DMD (OWNER)
(860) 342-4502
Entity
Organization
Contact information
Practice address
595 MAIN STREET, PORTLAND, CT 06480-1156
(860) 342-4502
(860) 342-5474
Mailing address
595 MAIN STREET, PORTLAND, CT 06480-1156
(860) 342-4502
(860) 342-5474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CT
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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