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Organization

42 NORTH DENTAL CARE, PLLC

Active
Parent organization
42 NORTH DENTAL CARE, PLLC
Other names
Southern Connecticut Dental Group Ansonia
Organization subpart
Yes

Provider details

NPI number
Legal business name
42 NORTH DENTAL CARE, PLLC
Authorized official
MICHAEL ANGELO SCIALABBA (CHIEF DENTAL OFFICER)
(561) 512-2709
Entity
Organization

Contact information

Practice address
497 MAIN ST, ANSONIA, CT 06401-2333
(203) 735-4701
Mailing address
200 5TH AVE FL 3, WALTHAM, MA 02451-8759

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/11/2023
Last updated
05/11/2023
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