Organization
A VANDIVEER STRAIT JR
Active
Other names
Wilton Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
A VANDIVEER STRAIT JR. D.D.S. (OWNER)
(203) 761-0223
Entity
Organization
Contact information
Practice address
44 OLD RIDGEFIELD RD, SUITE 212, WILTON, CT 06897-3055
(203) 761-0223
Mailing address
44 OLD RIDGEFIELD RD, SUITE 212, WILTON, CT 06897-3055
(203) 761-0223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3849
CT
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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