Organization
QUINNIPIAC ENDO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA THIEDE (PRACTICE ADMINISTRATOR)
(203) 284-9945
Entity
Organization
Contact information
Practice address
850 NORTH MAIN ST. EXT., BLDG. 2, SUITE D3, WALLINGFORD, CT 06492
(203) 284-9945
(203) 294-4869
Mailing address
850 NORTH MAIN ST. EXT., BLDG. 2, SUITE D3, WALLINGFORD, CT 06492
(203) 284-9945
(203) 294-4869
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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