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Organization

SWEET TOOTH PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE CASARELLA (CONSULTANT)
(860) 276-1586
Entity
Organization

Contact information

Practice address
583 SAYBROOK RD, MIDDLETOWN, CT 06457-4718
(860) 347-4681
(860) 344-0286
Mailing address
583 SAYBROOK RD, MIDDLETOWN, CT 06457-4718
(860) 347-4681
(860) 344-0286

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11417
CT

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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