Organization
42 NORTH DENTAL CARE PLLC
Active
Parent organization
42 NORTH DENTAL CARE PLLC
Other names
Windham Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE PLLC
Authorized official
DR. MICHAEL ANGELO SCIALABBA DDS (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
1671 MAIN ST, WILLIMANTIC, CT 06226-1127
(860) 456-3153
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759
(781) 647-0772
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
06/21/2021
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