Organization
A.G.N. DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY JOY NATH-VINICK DMD (VICE PRESIDENT)
(860) 668-7303
Entity
Organization
Contact information
Practice address
133 MOUNTAIN ROAD, SUFFIELD, CT 06078
(860) 668-7303
(860) 668-5079
Mailing address
133 MOUNTAIN RD., SUFFIELD, CT 06078
(860) 668-7303
(860) 668-5079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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