Organization
42 NORTH DENTAL CARE PLLC
Active
Parent organization
42 NORTH DENTAL CARE PLLC
Other names
Southern Connecticut Dental Group - Southbury
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE PLLC
Authorized official
DR. MICHAEL A. SCIALABBA DDS (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
30 QUAKER FARMS RD, SOUTHBURY, CT 06488-2732
(203) 264-4351
(203) 736-9443
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759
(781) 647-0772
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
06/21/2021
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