Organization
ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH P SUNSHINE DDS (PRESIDENT DENTIST)
(860) 447-0338
Entity
Organization
Contact information
Practice address
190 HEMPSTEAD ST, NEW LONDON, CT 06320
(860) 447-0338
(860) 444-2202
Mailing address
190 HEMPSTEAD ST, NEW LONDON, CT 06320
(860) 447-0338
(860) 444-2202
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
004372
CT
1223E0200X
Endodontics
01761
RI
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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