Organization
MODERN ORTHODONTICS LLC
Active
Other names
Southington Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUJ CAMANOCHA DMD (ORTHODONTIST/OWNER)
(860) 406-4322
Entity
Organization
Contact information
Practice address
1095 WEST ST STE 2, SOUTHINGTON, CT 06489-1023
(860) 406-8220
Mailing address
233 STERLING DR, NEWINGTON, CT 06111-2261
(603) 969-4322
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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