Organization
FARMINGTON FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN WILHELMS DMD (OWNER)
(860) 677-1316
Entity
Organization
Contact information
Practice address
5 MELROSE DR, FARMINGTON, CT 06032-2251
(860) 677-1316
(860) 677-4537
Mailing address
5 MELROSE DR, FARMINGTON, CT 06032-2251
(860) 677-1316
(860) 677-4537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007405
CT
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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