Organization
COMPASSION DENTAL 06032 LLC
Active
Other names
ComPassion Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER A DIEDERICH DMD (AUTHORIZED OFFICIAL)
(860) 470-3660
Entity
Organization
Contact information
Practice address
218 MAIN STREET, FARMINGTON, CT 06032-3623
(860) 470-3660
(860) 404-5642
Mailing address
218 MAIN STREET, FARMINGTON, CT 06032-3623
(860) 470-3660
(860) 404-5642
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7122
CT
Other
Enumeration date
10/22/2012
Last updated
01/30/2023
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