Organization
MANSFIELD CT DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIS LAURIE CZARNOWSKI RDH (BUSINESS MANAGER)
(860) 456-2906
Entity
Organization
Contact information
Practice address
10 HIGGINS HWY STE 1, MANSFIELD CENTER, CT 06250-1437
(860) 456-2906
Mailing address
10 HIGGINS HWY STE 1, MANSFIELD CENTER, CT 06250-1437
(860) 456-2906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6192
CT
122300000X
Dentist
6334
CT
Other
Enumeration date
05/03/2007
Last updated
09/08/2022
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