Organization
RADIANZ DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADESH CHAWLA DMD (PRESIDENT)
(860) 576-8329
Entity
Organization
Contact information
Practice address
1212 MAIN ST UNIT B, WILLIMANTIC, CT 06226-1908
(860) 576-8329
Mailing address
1212 MAIN ST UNIT B, WILLIMANTIC, CT 06226-1908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010203
CT
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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