Organization
COMPASSION DENTAL 06032 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER A DIEDERICH DDS (AUTHORIZED OFFICIAL)
(860) 645-0111
Entity
Organization
Contact information
Practice address
218 MAIN ST, FARMINGTON, CT 06032-2959
(860) 470-3660
Mailing address
218 MAIN ST, FARMINGTON, CT 06032-2959
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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