Organization
NORTHWESTERN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER POULIN (INSURANCE COORDINATOR)
(860) 824-5101
Entity
Organization
Contact information
Practice address
101 NORTH MAIN STREET, WINSTED, CT 06098
(860) 379-6807
(860) 824-9966
Mailing address
101 NORTH MAIN STREET, WINSTED, CT 06098
(860) 379-6807
(860) 824-9966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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