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Organization

KENNEDY FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RIDHIMA GOYAL DMD (OWNER)
(860) 496-1200
Entity
Organization

Contact information

Practice address
333 KENNEDY DR, SUITE-L-102, TORRINGTON, CT 06790-3060
(860) 496-1200
Mailing address
333 KENNEDY DR, SUITE-L-102, TORRINGTON, CT 06790-3060
(860) 496-1200

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010154
CT

Other

Enumeration date
11/16/2010
Last updated
11/16/2010
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