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Organization

DANBURY PUBLIC SCHOOLS PREVENTIVE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM DOAN (COORDINATOR)
(203) 790-2812
Entity
Organization

Contact information

Practice address
63 BEAVER BROOK RD, DANBURY, CT 06810-6211
(203) 790-2812
Mailing address
63 BEAVER BROOK RD, DANBURY, CT 06810-6211

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
002145
CT
124Q00000X
Dental Hygienist
Primary
008197
CT

Other

Enumeration date
12/28/2015
Last updated
12/28/2015
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