Organization
BLOOMFIELD FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI N MATHEW DDS (PRESIDENT)
(860) 656-6941
Entity
Organization
Contact information
Practice address
2 WINTONBURY MALL # 5, BLOOMFIELD, CT 06002-2466
(860) 656-6941
Mailing address
2 WINTONBURY MALL # 5, BLOOMFIELD, CT 06002-2466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
02/05/2013
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