Organization
NORTH MAIN DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETER C REID (OWNER)
(860) 655-9195
Entity
Organization
Contact information
Practice address
225 N MAIN ST STE 210, BRISTOL, CT 06010-4993
(860) 582-3744
Mailing address
225 N MAIN ST STE 210, BRISTOL, CT 06010-4993
(860) 582-3744
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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