Organization
CONNECTICUT DENTAL GROUPS
Active
Other names
Groton Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLINA SOUCY (GENERAL MANAGER)
(860) 456-3153
Entity
Organization
Contact information
Practice address
1100 POQUONNOCK RD, GROTON, CT 06340
(860) 445-9765
(860) 445-2757
Mailing address
1100 POQUONNOCK RD, GROTON, CT 06340
(860) 445-9765
(860) 445-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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