Organization
ADDISON VILLAGE DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELA VATAFU (PRESIDENT)
(646) 752-2005
Entity
Organization
Contact information
Practice address
969 HEBRON AVE, GLASTONBURY, CT 06033-5033
(646) 752-2005
Mailing address
969 HEBRON AVE, GLASTONBURY, CT 06033-5033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009515
CT
Other
Enumeration date
12/11/2013
Last updated
12/02/2021
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