Organization
BRISTOL FAMILY DENTAL, PC
Active
Other names
Next Generation Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS KATKOWSKI DMD (PRESIDENT)
(860) 589-2794
Entity
Organization
Contact information
Practice address
4 MORRIS AVE, BRISTOL, CT 06010-4448
(860) 589-2794
(860) 314-0799
Mailing address
4 MORRIS AVE, BRISTOL, CT 06010-4448
(860) 589-2794
(860) 314-0799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010490
CT
Other
Enumeration date
05/06/2014
Last updated
05/21/2014
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