Individual
DR. JOSEPH CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1355 MIDDLETOWN AVE, NORTHFORD, CT 06472-1382
(203) 484-0456
Mailing address
1355 MIDDLETOWN AVE, NORTHFORD, CT 06472-1382
(203) 484-0456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4786
CT
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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