Organization
PEOPLESDENTAL PC
Active
Parent organization
PEOPLESDENTAL PC
Other names
Rosenberg Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEOPLESDENTAL PC
Authorized official
LEAH ANN MAYLOTT (CREDENTIALING ADMINISTRATOR)
(860) 874-8198
Entity
Organization
Contact information
Practice address
21 N MAIN ST, WEST HARTFORD, CT 06107
(860) 236-1199
Mailing address
21 N MAIN ST, WEST HARTFORD, CT 06107-1939
(860) 874-8198
(508) 986-7317
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
10/19/2022
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