Organization
ORTHODONTIC ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ADRIAN HACK DDS (ORTHODONTIST PARTNER)
(860) 443-1827
Entity
Organization
Contact information
Practice address
196 PARKWAY S, SUITE 305, WATERFORD, CT 06385-1234
(860) 443-1827
(860) 443-1745
Mailing address
196 PARKWAY S, SUITE 305, WATERFORD, CT 06385-1234
(860) 443-1827
(860) 443-1745
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
007723
CT
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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