Organization
WESTERN CONNECTICUT DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M STANTON DMD (OWNER)
(860) 350-9232
Entity
Organization
Contact information
Practice address
120 PARK LANE RD, UNIT B201, NEW MILFORD, CT 06776-2444
(860) 350-9232
(860) 355-9232
Mailing address
120 PARK LANE RD, UNIT B201, NEW MILFORD, CT 06776-2444
(860) 350-9232
(860) 355-9232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009825
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
006219
CT
Other
Enumeration date
09/11/2014
Last updated
09/23/2014
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