Organization
ADVANCED DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INNA MASCO (BUSINESS MANAGER)
(203) 272-7271
Entity
Organization
Contact information
Practice address
435 HIGHLAND AVE, SUITE 210, CHESHIRE, CT 06410-2572
(203) 272-7271
(203) 272-8882
Mailing address
435 HIGHLAND AVE, SUITE 210, CHESHIRE, CT 06410-2572
(203) 272-7271
(203) 272-8882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8852
CT
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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