Organization
ADVANCED DENTAL OF CROMWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAROON DMD (MANAGING MEMBER/OWNER)
(860) 894-2933
Entity
Organization
Contact information
Practice address
26 SHUNPIKE RD STE A, CROMWELL, CT 06416-2442
(860) 894-2933
(860) 828-1610
Mailing address
26 SHUNPIKE RD STE A, CROMWELL, CT 06416-2442
(860) 894-2933
(860) 828-1610
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
CT006968
CT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/11/2017
Last updated
07/18/2019
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